The role of biomarkers for the diagnosis of implant-related infections in orthopaedics and trauma

Diagnosis of implant-related (periprosthetic joint) infections poses a major challenge to infection disease physicians and orthopaedic surgeons. Conventional diagnostic tests continue to suffer from issues of accuracy and feasibility. Biomarkers are used throughout medicine for diagnostic and progno...

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Main Authors: Alvand, A, Rezapoor, M, Parvizi, J
Format: Book section
Language:English
Published: Springer, Cham 2017
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author Alvand, A
Rezapoor, M
Parvizi, J
author_facet Alvand, A
Rezapoor, M
Parvizi, J
author_sort Alvand, A
collection OXFORD
description Diagnosis of implant-related (periprosthetic joint) infections poses a major challenge to infection disease physicians and orthopaedic surgeons. Conventional diagnostic tests continue to suffer from issues of accuracy and feasibility. Biomarkers are used throughout medicine for diagnostic and prognostic purposes, as they are able to objectively determine the presence of a disease or a biological state. There is increasing evidence to support the measurement of specific biomarkers in serum and/or synovial fluid of patients with suspected periprosthetic joint infections. Promising serum biomarkers include interleukin (IL)-4, IL-6, tumour necrosis factor (TNF)-α, procalcitonin, soluble intercellular adhesion molecule 1 (sICAM-1), and D-dimer. In addition to c-reactive protein and leucocyte esterase, promising biomarkers that can be measured in synovial fluid include antimicrobial proteins such as human β-defensin (HBD)-2 and human β-defensin (HBD)-3, and cathelicidin LL-37, as well as several interleukins such as IL-1β, IL-6, IL-8, IL-17, TNF- α, interferon-δ, and vascular endothelial growth factor.
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spelling oxford-uuid:7d86a5e9-6a74-4c49-a66c-0f12607d75982022-03-26T21:04:12ZThe role of biomarkers for the diagnosis of implant-related infections in orthopaedics and traumaBook sectionhttp://purl.org/coar/resource_type/c_3248uuid:7d86a5e9-6a74-4c49-a66c-0f12607d7598EnglishSymplectic Elements at OxfordSpringer, Cham2017Alvand, ARezapoor, MParvizi, JDiagnosis of implant-related (periprosthetic joint) infections poses a major challenge to infection disease physicians and orthopaedic surgeons. Conventional diagnostic tests continue to suffer from issues of accuracy and feasibility. Biomarkers are used throughout medicine for diagnostic and prognostic purposes, as they are able to objectively determine the presence of a disease or a biological state. There is increasing evidence to support the measurement of specific biomarkers in serum and/or synovial fluid of patients with suspected periprosthetic joint infections. Promising serum biomarkers include interleukin (IL)-4, IL-6, tumour necrosis factor (TNF)-α, procalcitonin, soluble intercellular adhesion molecule 1 (sICAM-1), and D-dimer. In addition to c-reactive protein and leucocyte esterase, promising biomarkers that can be measured in synovial fluid include antimicrobial proteins such as human β-defensin (HBD)-2 and human β-defensin (HBD)-3, and cathelicidin LL-37, as well as several interleukins such as IL-1β, IL-6, IL-8, IL-17, TNF- α, interferon-δ, and vascular endothelial growth factor.
spellingShingle Alvand, A
Rezapoor, M
Parvizi, J
The role of biomarkers for the diagnosis of implant-related infections in orthopaedics and trauma
title The role of biomarkers for the diagnosis of implant-related infections in orthopaedics and trauma
title_full The role of biomarkers for the diagnosis of implant-related infections in orthopaedics and trauma
title_fullStr The role of biomarkers for the diagnosis of implant-related infections in orthopaedics and trauma
title_full_unstemmed The role of biomarkers for the diagnosis of implant-related infections in orthopaedics and trauma
title_short The role of biomarkers for the diagnosis of implant-related infections in orthopaedics and trauma
title_sort role of biomarkers for the diagnosis of implant related infections in orthopaedics and trauma
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