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This is a prospective multicenter study. All patients presenting for revision hip or knee arthroplasty for all indications under the respective surgeon's care may be eligible. Per standard of care preoperatively, all patients must have blood drawn for erythrocyte sedimentation rate(ESR), C-reactive protein(CRP) and D-dimer. Aspiration of the joint in question may be performed at the discretion of the treating surgeon and results documented. Intraoperative samples will also be collected and sent for NGS analysis
Pre-operative D-dimer testing should be performed if this is in keeping with the local institutional standard of care. Otherwise, D-dimer testing will be omitted from the pre-operative panel of tests collected.
NGS results will be made available to the Investigator. Treatment will remain within keeping with the Investigator's standard of care. NGS results may be used at the discretion of the treating surgeon in guiding patient treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Suspected PJI |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No intervention: sample collection study | Other | Sample collection and collection of laboratory values |
|
| Measure | Description | Time Frame |
|---|---|---|
| NextGeneration Sequencing analysis concordance with Muskuloskeletal Infection Society (MSIS) criteria for defining infection | MSIS criteria incorporates pre-operative laboratory values with tissue and fluid samples collected during surgery in an attempt to diagnose infection | Immediate post-operative period (usually within 5 days following surgery) |
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Inclusion Criteria:
Exclusion Criteria:
1. Patients undergoing second stage re-implantation surgery for PJI.
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Samples will be collected from subjects undergoing revision for suspected infection. Data analysis will occur on samples collected
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| Name | Affiliation | Role |
|---|---|---|
| Tiffany Morrison, MS, CCRP | Rothman Institute | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rothman Institute | Philadelphia | Pennsylvania | 19107 | United States |
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