Lead Author, publication date Mean time intervals from onset of symptoms (days) to DAIR Time interval from index procedure. and DAIR (joint age) Debridement Type Exchange modular components N (%) Use of rifampicin Duration of antibiotic therapy (weeks) Patient failed N (%) Bacteria involved in failed cases Surgical option for failed patients
Chiu et al. 2007,[@112019] Within 28 days 28 – 72 months Open 100% NA 6 weeks IV at least 5 (50%) NA Fusion or two-stage reimplantation.
Choi et al. 2011,[@112024] Within 28 days 0,5 – 240 months Open With or without PE exchange NA 6 weeks IV 16 (69%) S. aureus 16 (100%) Staged revision operation or repeated DAIR or fusion or amputation or resection.
Estes et al. 2010,[@112006] Within 28 days NA Open
(two debridements + beads)
0%
(all modular components were removed and sterilized by flash autoclave or in a betadine soak)
26,6% 6 weeks IV + 36 weeks OS 2 (11%) MRSA 1 (50%)
S. agalactiae 1 (50%)
None
Fink et al. 2017,[@112023] 1 - 21 NA Open 100% 100% 2 weeks IV + variabile OS NA NA NA
He et al. 2016,[@112003] 2–7 7 – 61 months Open 100% 100% 6 weeks IV + 12 weeks OS 2 (19%) S. epidermidis 1 (50%)
S. aureus
1 (50%)
1 Two-stage.
1 second implant removal prior to a second revision.
In jun Koh et al. 2015,[@112025] 4–26 5 – 144 months Open 94% NA 6 weeks or less IV and then OS 9 (45%) NA Multiple irrigation and debridement 1 (5%) Suppression antibiotic therapy 1 (5%) Two-stage revision 6 (30%) Fusion or amputation 2 (10%)
Konigsberg et al. 2014,[@112012] 1-28 6 – 186 months Open 100% NA 6 weeks IV NA Staphylococcus spp. Second debridement or following implant removal and II stage reconstruction including a medial gastrocnemius flap in one knee or knee fusion or above knee amputation.
Koyonos et al. 2011,[@112013] NA NA Open NA NA 6 weeks IV NA NA NA
Lora-Tamayo et al. 2017,[@112014] 2–12 NA Open 55% 37% 3 weeks IV NA NA NA
Meehan et al. 2003,[@112015] 1 – 9 1,8 – 138 months Open 40% NA 4 weeks IV + NA oral therapy.
42% of cases received long-term oral antimicrobial therapy
0 (0%) None Patients underwent a median of one surgical debridement (range, 1–3).
Mont et al. 1997,[@112016] 3 - 28 6 – 71 months Open 29% NA 6 weeks IV 4 (29%) S. aureus 1 (25%) S. epidermidis 2 (50%)
E. coli 1 (25%)
Two-stage reimplantation or second DAIR or knee fusion.
Segawa et al. 1999,[@112017] NA NA Open 100% NA 6 weeks IV 2 (29%) NA 1 Arthrodesis.
1 Suppressive antibiotic.
Both failed
Son et al. 2017,[@112018] 1 - 5 NA Open 100% Used when S. aureus was detected 4 weeks IV 3 (20%) MSSA 1 (33%)
Enterobacter 1 (33%)
Streptococcus spp. 1 (33%)
Second DAIR or two-stage revisions.
Triantafyllopoulos et al. 2014,[@111996] 2 – 60 95.3% occurred within the first 365 days after index surgery Open plus arthroscopy 100% NA 6 IV weeks + 6 weeks OS NA Staphylococcal spp (38%)
Other gram-positive bacteria (4%)
Gram negative bacteria (1%)
Negative cultures (1%)
II stage or second/third
DAIR or long-term suppression treatment with antibiotics.
Vilchez et al. 2011,[@112020] 4,7 9 – 88 months Open 100% 100% 1,5 week IV + 16 weeks OS 7 (59%) Staphylococcus aureus resistant to fluoroquinolones 3 Second DAIR
Zhang et al. 2016,[@111997] 1 – 60 0 – 230 months Open NA NA 4/6 weeks IV + 12/24 weeks OS 11 (65%) Staphylococcus spp. and nonstaphylococcal spp. Two-stage revisions or lifelong antibiotics suppression.