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. 2011 May;1(6):207-217.
doi: 10.1007/s12570-011-0056-8. Epub 2011 Apr 14.

Bone and joint infections in adults: a comprehensive classification proposal

Bone and joint infections in adults: a comprehensive classification proposal

Carlo Luca Romanò et al. Eur Orthop Traumatol. 2011 May.

Abstract

INTRODUCTION AND METHODS: Ten currently available classifications were tested for their ability to describe a continuous cohort of 300 adult patients affected by bone and joint infections. Each classification only focused, on the average, on 1.3 ± 0.4 features of a single clinical condition (osteomyelitis, implant-related infections, or septic arthritis), being able to classify 34.8 ± 24.7% of the patients, while a comprehensive classification system could describe all the patients considered in the study. RESULT AND CONCLUSION: A comprehensive classification system permits more accurate classification of bone and joint infections in adults than any single classification available and may serve for didactic, scientific, and clinical purposes.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Percent of patients (N = 300) classified according to the items of the Seven-Item Comprehensive Classification System, treated consecutively for bone and joint infections in our department during the years 2008–2009
Fig. 2
Fig. 2
Percent of patients that could be classified according to different available classifications and to the to Seven-Item Comprehensive Classification System

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