What diagnostic criteria must be fulfilled to diagnose surgical site infection (SSI) or fracture related infection (FRI) in orthopaedic trauma (including external fixators)?

Authors: Carl Haasper, Jaime A. Leal, Willem-Jan Metsemakers

RECOMMENDATION: Diagnostic criteria proposed by the International Consensus Group on FRI (published in 2017) should be used to diagnose infection in fracture cases. In cases, more than four weeks from fracture, histological confirmation of > 5 neutrophils per high power field is confirmatory of infection.

LEVEL OF EVIDENCE: Consensus

DELEGATE VOTE: Agree: 85%, Disagree: 5%, Abstain: 10% (Super Majority, Strong Consensus)

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