What is the optimal method to diagnose fungal periprosthetic joint infection (PJI)?

Authors: Feng-Chih Kuo, Majd Tarabichi

RECOMMENDATION: Diagnosis of fungal PJIs is established by incubating joint aspirations or tissue samples collected intraoperatively on specialized culture media. Furthermore, isolation of fungal species may take up to four weeks. However, given the shortcomings associated with the use of culture, alternative techniques capable of detecting fungi, such as molecular techniques, may be used as an adjunct.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 95%, Disagree: 3%, Abstain: 2% (Unanimous, Strongest Consensus)