Investigation and management of prosthetic joint infection in knee replacement: a BASK surgical practice guideline

N Kalson; J A Mathews; A Alvand; R Morgan-Jones; N Jenkins; JRA Phillips; AD Toms; PN Baker; D Barrett; BV Bloch; R Carrington; K Eyres; A Gambhir; P Hopgood; N Howells; WF Jackson; P James; L Jeys; R Kerry; J Miles; B Mockford; J Murray; G  Pavlou; A Porteous; A Price; M Sarungi; R Spencer-Jones; Phillip Jonathan Walmsley; B Waterson; JP Whittaker

doi:10.1016/j.knee.2020.09.010

Investigation and management of prosthetic joint infection in knee replacement: a BASK surgical practice guideline

N Kalson^*, J A Mathews, A Alvand, R Morgan-Jones, N Jenkins, JRA Phillips, AD Toms, PN Baker, D Barrett, BV Bloch, R Carrington, K Eyres, A Gambhir, P Hopgood, N Howells, WF Jackson, P James, L Jeys, R Kerry, J MilesB Mockford, J Murray, G Pavlou, A Porteous, A Price, M Sarungi, R Spencer-Jones, Phillip Jonathan Walmsley, B Waterson, JP Whittaker

^*Corresponding author for this work

School of Medicine

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

Abstract

Background: The burden of knee replacement prosthetic joint infection (KR PJI) is increasing. KR PJI is difficult to treat, outcomes can be poor and it is financially expensive and limited evidence is available to guide treatment decisions.

Aim: To provide guidelines for surgeons and units treating KR PJI.

Methods: Guideline formation by consensus process undertaken by BASK's Revision Knee Working Group, supported by outputs from UK-PJI meetings.

Results: Improved outcomes should be achieved through provision of care by revision centres in a network model. Treatment of KR PJI should only be undertaken at specialist units with the required infrastructure and a regular infection MDT. This document outlines practice guidelines for units providing a KR PJI service and sets out: CONCLUSIONS: KR PJI patients treated within the NHS should be provided the best care possible. This report sets out guidance and support for surgeons and units to achieve this.

Original language	English
Pages (from-to)	1857-1865
Journal	The Knee
Volume	27
Issue number	6
Early online date	14 Nov 2020
DOIs	https://doi.org/10.1016/j.knee.2020.09.010
Publication status	Published - Dec 2020

Keywords

Arthroplasty
Knee
Revision
Infection

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10.1016/j.knee.2020.09.010

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Kalson, N., Mathews, J. A., Alvand, A., Morgan-Jones, R., Jenkins, N., Phillips, JRA., Toms, AD., Baker, PN., Barrett, D., Bloch, BV., Carrington, R., Eyres, K., Gambhir, A., Hopgood, P., Howells, N., Jackson, WF., James, P., Jeys, L., Kerry, R., ... Whittaker, JP. (2020). Investigation and management of prosthetic joint infection in knee replacement: a BASK surgical practice guideline. The Knee, 27(6), 1857-1865. https://doi.org/10.1016/j.knee.2020.09.010

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title = "Investigation and management of prosthetic joint infection in knee replacement: a BASK surgical practice guideline",

abstract = "Background: The burden of knee replacement prosthetic joint infection (KR PJI) is increasing. KR PJI is difficult to treat, outcomes can be poor and it is financially expensive and limited evidence is available to guide treatment decisions.Aim: To provide guidelines for surgeons and units treating KR PJI.Methods: Guideline formation by consensus process undertaken by BASK's Revision Knee Working Group, supported by outputs from UK-PJI meetings.Results: Improved outcomes should be achieved through provision of care by revision centres in a network model. Treatment of KR PJI should only be undertaken at specialist units with the required infrastructure and a regular infection MDT. This document outlines practice guidelines for units providing a KR PJI service and sets out: CONCLUSIONS: KR PJI patients treated within the NHS should be provided the best care possible. This report sets out guidance and support for surgeons and units to achieve this.",

keywords = "Arthroplasty, Knee, Revision, Infection",

author = "N Kalson and Mathews, {J A} and A Alvand and R Morgan-Jones and N Jenkins and JRA Phillips and AD Toms and PN Baker and D Barrett and BV Bloch and R Carrington and K Eyres and A Gambhir and P Hopgood and N Howells and WF Jackson and P James and L Jeys and R Kerry and J Miles and B Mockford and J Murray and G Pavlou and A Porteous and A Price and M Sarungi and R Spencer-Jones and Walmsley, {Phillip Jonathan} and B Waterson and JP Whittaker",

year = "2020",

month = dec,

doi = "10.1016/j.knee.2020.09.010",

language = "English",

volume = "27",

pages = "1857--1865",

journal = "The Knee",

issn = "0968-0160",

publisher = "Elsevier",

number = "6",

}

Kalson, N, Mathews, JA, Alvand, A, Morgan-Jones, R, Jenkins, N, Phillips, JRA, Toms, AD, Baker, PN, Barrett, D, Bloch, BV, Carrington, R, Eyres, K, Gambhir, A, Hopgood, P, Howells, N, Jackson, WF, James, P, Jeys, L, Kerry, R, Miles, J, Mockford, B, Murray, J, Pavlou, G, Porteous, A, Price, A, Sarungi, M, Spencer-Jones, R, Walmsley, PJ, Waterson, B & Whittaker, JP 2020, 'Investigation and management of prosthetic joint infection in knee replacement: a BASK surgical practice guideline', The Knee, vol. 27, no. 6, pp. 1857-1865. https://doi.org/10.1016/j.knee.2020.09.010

TY - JOUR

T1 - Investigation and management of prosthetic joint infection in knee replacement

T2 - a BASK surgical practice guideline

AU - Kalson, N

AU - Mathews, J A

AU - Alvand, A

AU - Morgan-Jones, R

AU - Jenkins, N

AU - Phillips, JRA

AU - Toms, AD

AU - Baker, PN

AU - Barrett, D

AU - Bloch, BV

AU - Carrington, R

AU - Eyres, K

AU - Gambhir, A

AU - Hopgood, P

AU - Howells, N

AU - Jackson, WF

AU - James, P

AU - Jeys, L

AU - Kerry, R

AU - Miles, J

AU - Mockford, B

AU - Murray, J

AU - Pavlou, G

AU - Porteous, A

AU - Price, A

AU - Sarungi, M

AU - Spencer-Jones, R

AU - Walmsley, Phillip Jonathan

AU - Waterson, B

AU - Whittaker, JP

PY - 2020/12

Y1 - 2020/12

N2 - Background: The burden of knee replacement prosthetic joint infection (KR PJI) is increasing. KR PJI is difficult to treat, outcomes can be poor and it is financially expensive and limited evidence is available to guide treatment decisions.Aim: To provide guidelines for surgeons and units treating KR PJI.Methods: Guideline formation by consensus process undertaken by BASK's Revision Knee Working Group, supported by outputs from UK-PJI meetings.Results: Improved outcomes should be achieved through provision of care by revision centres in a network model. Treatment of KR PJI should only be undertaken at specialist units with the required infrastructure and a regular infection MDT. This document outlines practice guidelines for units providing a KR PJI service and sets out: CONCLUSIONS: KR PJI patients treated within the NHS should be provided the best care possible. This report sets out guidance and support for surgeons and units to achieve this.

AB - Background: The burden of knee replacement prosthetic joint infection (KR PJI) is increasing. KR PJI is difficult to treat, outcomes can be poor and it is financially expensive and limited evidence is available to guide treatment decisions.Aim: To provide guidelines for surgeons and units treating KR PJI.Methods: Guideline formation by consensus process undertaken by BASK's Revision Knee Working Group, supported by outputs from UK-PJI meetings.Results: Improved outcomes should be achieved through provision of care by revision centres in a network model. Treatment of KR PJI should only be undertaken at specialist units with the required infrastructure and a regular infection MDT. This document outlines practice guidelines for units providing a KR PJI service and sets out: CONCLUSIONS: KR PJI patients treated within the NHS should be provided the best care possible. This report sets out guidance and support for surgeons and units to achieve this.

KW - Arthroplasty

KW - Knee

KW - Revision

KW - Infection

U2 - 10.1016/j.knee.2020.09.010

DO - 10.1016/j.knee.2020.09.010

M3 - Article

SN - 0968-0160

VL - 27

SP - 1857

EP - 1865

JO - The Knee

JF - The Knee

IS - 6

ER -

Investigation and management of prosthetic joint infection in knee replacement: a BASK surgical practice guideline

Abstract

Keywords

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