Can debridement, antibiotics and implant retention (DAIR) be used to treat acute fungal periprosthetic joint infections (PJIs)?

Authors: Li Cao, Feng Chih Kuo

RECOMMENDATION: DAIR has a relatively high failure rate in fungal PJIs, especially for immunocompromised patients. DAIR should be reserved for patients with truly acute PJIs after an index arthroplasty and in healthy patients (Type A). If DAIR is performed for fungal PJIs, consideration should be given to anti-fungal suppression therapy.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 91%, Disagree: 5%, Abstain: 4% (Super Majority, Strong Consensus)