Definition of prosthetic joint infection by infectious disease society of America (IDSA), 2012:

PJI is present when one of the following criteria is present:

  • Sinus tract communicating with a prosthesis
  • Presence of pus
  • Acute inflammation on histopathologic evaluation of periprosthetic tissue
  • Two or more positive cultures with the same organism (intraoperatively and/or preoperatively)
  • Single positive culture with the virulent organism.

 

Type of infection Time of PJI Likely Source of infection
Early Less than 3 months Intraoperative 
Delayed 3-12 months Intraoperative
Late More than 12 months Haematogenous or Intraoperative