Antibiotic Prophylaxis in Joint Arthroplasty: Do we get it right?
نویسندگان
چکیده
Purpose: The goal of this study was to investigate whether our institution adhered to current guidelines for the use of prophylactic antibiotics in hip and knee arthroplasty. Type of Study: Retrospective case series. Methods: Data on the administration of prophylactic antibiotics for 798 consecutive total hip arthroplasty, total knee arthroplasty, and hip hemiarthroplasty procedures were recorded. All primary and revision procedures were included. This data has been analysed to assess if antibiotic prophylaxis administration has followed the current American Academy of Orthopaedic Surgeons guidelines. Results: Prophylactic antibiotics were correctly administered in 266 cases (91.4%) of THR, 259 cases (92.5%) of TKR, 148 cases (86%) of hip hemiarthroplasties, 34 cases (82.9%) of revision THR and 13 cases (92.9%) of revision TKR. Conclusions: The benefit of appropriate prophylactic antibiotic administration in joint arthroplasty is well established and documented in the literature1. This study demonstrates that 9.8% of patients undergoing hip and knee arthroplasty procedures are not receiving antibiotic prophylaxis as per AAOS guidelines. This highlights that there is scope for improving current practice and demonstrates the need for clinical audit to ensure that best practice is being undertaken. Level of evidence: Level IV, case series
منابع مشابه
The antibiotic prophylaxis guideline for prosthetic joints: trying to do the right thing.
Guideline for Prosthetic Joints: Trying to Do the Right Thing In 1997, the American Dental Association (ADA) and the American Academy of Orthopaedic Surgeons (AAOS) published the first advisory statement on antibiotic prophylaxis (AP) for dental patients with prosthetic joints. This advisory statement was updated in 2003 with new information and concluded that AP is not routinely indicated for ...
متن کاملAntibiotic Prophylaxis and DAIR Treatment in Primary Total Hip and Knee Arthroplasty, A National Survey in The Netherlands
BACKGROUND To prevent postoperative infection the use of systemic antibiotic prophylaxis is common ground. Type of antibiotic used and duration of prophylaxis are subject to debate. In case of suspected early periprosthetic infection a debridement, antibiotics and implant retention (DAIR) procedure is treatment of first choice. This study evaluated the antibiotic prophylaxis and DAIR treatment ...
متن کاملLocal and systemic antibiotic prophylaxis and infection control during major joint arthroplasty
متن کامل
Antibiotic prophylaxis for wound infections in total joint arthroplasty: a systematic review.
We reviewed systematically the published evidence on the effectiveness of antibiotic prophylaxis for the reduction of wound infection in patients undergoing total hip and total knee replacement. Publications were identified using the Cochrane Library, MEDLINE, EMBASE and CINAHL databases. We also contacted authors to identify unpublished trials. We included randomised controlled trials which co...
متن کاملAntibiotic prophylaxis for total joint replacement surgery: results of a survey of Canadian orthopedic surgeons.
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 کامل