Joint replacement, dental surgery, and antibiotic prophylaxis.
نویسندگان
چکیده
Numerous case reports support the assertion that secondary infection around prosthetic joints can occur after dental disease or manipulation, or both, but the need for prophylactic antibiotics remains controversial. In the United States prophylaxis is recommended, whereas in Britain individuals adopt their own policy. We surveyed orthopaedic surgeons and dental and general practitioners to determine their attitude towards prophylaxis in patients with prosthetic joints undergoing dental treatment.
منابع مشابه
Antibiotic prophylaxis during dental treatment in patients with prosthetic joints.
Since the early l960s the replacement of large joints, including hip, knee, elbow and shoulder, has become commonplace. A survey by Hon Ct al (1978) revealed that some 120 000 total hip and knee replacements were undertaken each year in the United States, and it may be assumed that numbers have increased every year since. In New Zealand, over 4000 total hip replacements are performed annually (...
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The risk of periprosthetic joint infection from hematogenous bacterial seeding is increased in patients undergoing dental procedures that facilitate the development of bacteremia. We herein report the case of a patient without a history of dental procedures who suffered from an acute metastatic infection of a hip prosthesis by the oral bacterium Streptococcus mutans 18 months after undergoing r...
متن کاملAntibiotic prophylaxis for dental treatment after prosthetic joint replacement: exploring the orthopaedic surgeon's opinion
BACKGROUND Antibiotic prophylaxis before dental treatment is routinely recommended by orthopaedic surgeons to prevent prosthetic joint infection (PJI). This recommendation is at odds with current guidelines. METHODS A postal survey of 9 checkbox or short-answer questions was completed by 633 orthopaedic surgeons. RESULTS The majority of respondents (n = 186 of 260, 72%) believe that antibio...
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BACKGROUND The role of perioperative antibiotic prophylaxis in total joint replacement (TJR) surgery is well established. Whereas guidelines have been published in some countries, in Canada controversy persists concerning the best clinical practice for perioperative antibiotic prophylaxis in TJR. METHODS We conducted a survey of 590 practising orthopedic surgeons performing TJR in Canada to a...
متن کاملAntibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee.
More than a million hip replacements are carried out each year worldwide, and the number of other artificial joints inserted is also rising, so that infections associated with arthroplasties have become more common. However, there is a paucity of literature on infections due to haematogenous seeding following dental procedures. We reviewed the published literature to establish the current knowl...
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ورودعنوان ژورنال:
- BMJ
دوره 304 6832 شماره
صفحات -
تاریخ انتشار 1992