Consensus document for the diagnosis of peripheral bone infection in adults: a joint paper by the EANM, EBJIS, and ESR (with ESCMID endorsement).
- Glaudemans AWJM Department of Nuclear Medicine and Molecular Imaging, Medical Imaging Center, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB, Groningen, The Netherlands. a.w.j.m.glaudemans@umcg.nl.
- Jutte PC Department of Orthopaedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
- Cataldo MA Clinical and Research Department on of Infectious Diseases, "L. Spallanzani", IRCCS-Rome, Rome, Italy.
- Cassar-Pullicino V Department of Diagnostic Imaging, Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Trust, Oswestry, Shropshire, UK.
- Gheysens O Department of Nuclear Medicine and Molecular Imaging, University Hospitals Leuven, Leuven, Belgium.
- Borens O Division of Orthopaedic Surgery and Traumatology, Lausanne University Hospital, Lausanne, Switzerland.
- Trampuz A Center for Muskuloskeletal Surgery, Charité - Universitätsmedicin Berlin, Berlin, Germany.
- Wörtler K 69 Division Institut für Diagnostische und Interventionelle Radiologie, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
- Petrosillo N Clinical and Research Department on of Infectious Diseases, "L. Spallanzani", IRCCS-Rome, Rome, Italy.
- Winkler H Osteitis-Centre, Privatklinik Döbling, Vienna, Austria.
- Signore A Nuclear Medicine Unit, Faculty of Medicine and Psychology, Department of Medical-Surgical Sciences and Translational Medicine, "Sapienza" University, Rome, Italy.
- Sconfienza LM Unit of Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
- 2019-01-25
Published in:
- European journal of nuclear medicine and molecular imaging. - 2019
Diagnosis of infection
Guideline
Imaging
Osteitis
Osteomyelitis
Peripheral bone infection
Adult
Anti-Bacterial Agents
Consensus
Documentation
Europe
Evidence-Based Medicine
Humans
Nuclear Medicine
Osteitis
Osteomyelitis
Societies, Scientific
English
INTRODUCTION
In adults with a suspicion of peripheral bone infection, evidence-based guidelines in choosing the most accurate diagnostic strategy are lacking.
AIM AND METHODS
To provide an evidence-based, multidisciplinary consensus document on the diagnostic management of adult patients with PBIs, we performed a systematic review of relevant infectious, microbiological, orthopedic, radiological, and nuclear medicine literature. Delegates from four European societies (European Bone and Joint Infection Society, European Society of Microbiology and Infectious Diseases, European Society or Radiology, and European Association of Nuclear Medicine) defined clinical questions to be addressed, thoroughly reviewed the literature pertinent to each of the questions, and thereby evaluated the diagnostic accuracy of each diagnostic technique. Inclusion of the papers per statement was based on a PICO (Population/problem - Intervention/indicator - Comparator - Outcome) question following the strategy reported by the Oxford Centre for Evidence-based Medicine. For each statement, the level of evidence was graded according to the 2011 review of the Oxford Centre for Evidence-based Medicine. All approved statements were addressed taking into consideration the available diagnostic procedures, patient acceptance, tolerability, complications, and costs in Europe. Finally, a commonly agreed-upon diagnostic flowchart was developed.
In adults with a suspicion of peripheral bone infection, evidence-based guidelines in choosing the most accurate diagnostic strategy are lacking.
AIM AND METHODS
To provide an evidence-based, multidisciplinary consensus document on the diagnostic management of adult patients with PBIs, we performed a systematic review of relevant infectious, microbiological, orthopedic, radiological, and nuclear medicine literature. Delegates from four European societies (European Bone and Joint Infection Society, European Society of Microbiology and Infectious Diseases, European Society or Radiology, and European Association of Nuclear Medicine) defined clinical questions to be addressed, thoroughly reviewed the literature pertinent to each of the questions, and thereby evaluated the diagnostic accuracy of each diagnostic technique. Inclusion of the papers per statement was based on a PICO (Population/problem - Intervention/indicator - Comparator - Outcome) question following the strategy reported by the Oxford Centre for Evidence-based Medicine. For each statement, the level of evidence was graded according to the 2011 review of the Oxford Centre for Evidence-based Medicine. All approved statements were addressed taking into consideration the available diagnostic procedures, patient acceptance, tolerability, complications, and costs in Europe. Finally, a commonly agreed-upon diagnostic flowchart was developed.
- Language
-
- English
- Open access status
- hybrid
- Identifiers
-
- DOI 10.1007/s00259-019-4262-x
- PMID 30675635
- Persistent URL
- https://sonar.ch/global/documents/278077
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