CD64 as a marker of prosthetic joint infection

  • Research type

    Research Study

  • Full title

    Is CD64 level an effective test for the early diagnosis and management of joint replacement infection.

  • IRAS ID

    133171

  • Contact name

    Mike Reed

  • Contact email

    mike.reed@nhs.net

  • Research summary

    Hip and knee replacements are common operations that relieve the pain of arthritis. Each year in the UK over 150,000 of these operations are carried out. Joint replacement is however not without risk and a small number of patients will unfortunately develop an infection in the artificial joint. It can be difficult to accurately diagnose an infection in a joint replacement. The earlier an infection is identified the sooner it can be treated giving the best chance of success. Unfortunately if a joint replacement infection is not picked up early the treatment required is often more radical and it is often necessary to completely remove the joint replacement and leave the patient without a joint until the infection has been cured. The patient will then have to undergo another joint replacement operation, often several months later. This situation causes much suffering for the patients involved. Currently there is no effective method to give an early warning of infection. Results from our pilot study have shown however that CD 64 has the potential to be an effective way of diagnosing prosthetic joint infection. If caught early enough some infections may be cured with antibiotics and a washout of the artificial joint therefore saving the patient the turmoil of removal of the joint. The potential for CD 64 to be used as an early warning system for infection in joint replacement could help large numbers of patients to keep their original joint replacement and return to function quickly.

  • REC name

    North East - Tyne & Wear South Research Ethics Committee

  • REC reference

    13/NE/0270

  • Date of REC Opinion

    16 Oct 2013

  • REC opinion

    Further Information Favourable Opinion