Are point-of-care (POC) rapid tests for diagnosing periprosthetic joint infections (PJIs) validated and useful?

Are point-of-care (POC) rapid tests for diagnosing periprosthetic joint infections (PJIs) validated and useful?

Authors: Akos Zahar, Jeroen Neyt, Cesar H. Rocha, Thorsten Gehrke, Christian Lausmann, Julia Vasquez

RECOMMENDATION: Yes, there are several useful POC tests which can be added to the diagnostic workup of PJIs. A number of studies support the usefulness and reliability of the leukocyte esterase (LE) test strip and the alpha-defensin lateral fl ow test kit. Diagnostic criteria for PJIs should be updated and consider inclusion of these tests.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 73%, Disagree: 21%, Abstain: 6% (Super Majority, Strong Consensus)

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