PERIPROSTHETIC FUNGAL INFECTIONS, OUTCOMES AND PREDICTIVE FACTORS

AimPeriprosthetic joint infections (PJI) are rare and require complex multi-disciplinary management. Successful single and two-stage revision procedures have been described. We describe the clinical features of this rare diagnosis from a single institution.MethodPatients were identified retrospectively from a prospectively collected institutional infection database. Clinical notes were evaluated for demographic, comorbid and clinical outcomes. The diagnosis of PJI, and any recurrence following treatment, was made in accordance with the Musculoskeletal Infection Society criteria. Failure was defined as recurrence of infection necessitating implant removal, excision arthroplasty or amputation.ResultsBetween 2005 and 2015, 25 patients were diagnosed with fungal PJIs involving hip(7) and knee(13) arthroplasties and endoprostheses(5). All included patients met the MSIS criteria for PJI. 88% had polymicrobial infections, 88% had multiply revised joints and 88% had coexisting multidrug resistant bacterial infect...