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Journal article : Review

Definition and diagnosis of fracture-related infection

Abstract:
Fracture-related infection (FRI) is common and often diagnosed late.Accurate diagnosis is the beginning of effective treatment.Diagnosis can be difficult, particularly when there are no outward signs of infection.The new FRI definition, together with clear protocols for nuclear imaging, microbiological culture and histological analysis, should allow much better study design and a clearer understanding of infected fractures.In recent years, there has been a new focus on defining FRI and avoiding non-specific, poorly targeted treatment. Previous studies on FRI have often failed to define infection precisely and so are of limited value. This review highlights the essential principles of making the diagnosis and how clinical signs, serum tests, imaging, microbiology, molecular biology and histology all contribute to the diagnostic pathway.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1302/2058-5241.5.190072

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDORMS
Sub department:
Botnar Research Centre
Role:
Author
ORCID:
0000-0002-3139-7237
More by this author
Role:
Author
ORCID:
0000-0002-4114-9093


Publisher:
British Editorial Society of Bone and Joint Surgery
Journal:
EFORT Open Reviews More from this journal
Volume:
5
Issue:
10
Pages:
614-619
Publication date:
2020-10-26
DOI:
EISSN:
2058-5241
ISSN:
2058-5241
Pmid:
33204503


Language:
English
Keywords:
Subtype:
Review
Pubs id:
1148677
Local pid:
pubs:1148677
Deposit date:
2021-03-31

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