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Task Force 4: Inpatient Management of Patients with MCSD - The ...

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Table 3. Determination <strong>of</strong> <strong>MCSD</strong> Infections<br />

<strong>MCSD</strong> Specific Infections<br />

Proven<br />

Probable<br />

Possible<br />

Unlikely<br />

<strong>MCSD</strong> Pocket Infections<br />

Proven<br />

Probable<br />

Possible<br />

Unlikely<br />

Definitive microbiology, or<br />

Histologic confirmation at explants, or<br />

2 major clinical criteria<br />

1 major and 3 minor criteria, or<br />

4 minor criteria<br />

1 major and 1 minor criteria, or<br />

3 minor criteria<br />

Presence <strong>of</strong> an alternative diagnosis, or<br />

Resolution after ≤4 days <strong>of</strong> antibiotics, or<br />

No pathologic evidence at surgery <strong>with</strong> antibiotics ≤4<br />

days, or<br />

Not meeting established definitions<br />

Organisms cultured from fluid, or<br />

Abscess, or<br />

Other infection seen during surgical exploration, or<br />

2 major criteria<br />

1 major and 3 minor criteria, or<br />

4 minor criteria<br />

1 major and 1 minor criteria, or<br />

3 minor criteria<br />

Definitive alternative diagnosis, or<br />

Resolution <strong>with</strong> ≤4 days <strong>of</strong> antibiotics, or<br />

No pathological evidence at surgery after ≤4 days <strong>of</strong><br />

antibiotics, or<br />

Negative cultures from fluid during surgery or<br />

aspiration<br />

51

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