Antibiotic Prophylaxis for Patients with a History of Total Joint Replacement

作者：DeFroda Steven F; Lamin Eliza; Gil Joseph A; Sindhu Kunal; Ritterman Scott

来源：Journal of the American Board of Family Medicine, 2016, 29(4): 500-507.

DOI：10.3122/jabfm.2016.04.150386

• Antibacterial Agents
• Antibiotic Prophylaxis
• Infectious Arthritis
• Replacement Arthroplasty

As the population ages and people remain active into the 7th and 8th decades of life, the frequency of total joint replacement is increasing. Following joint replacement surgery, patients inevitably require various invasive procedures as part of their routine health maintenance, including, but not limited to, dental care, colonoscopy, cystoscopy, and cardiac catheterization. There is scant evidence to support the use of periprocedural prophylactic antibiotics in the prevention of late total joint infection. The guidelines for the usage of periprocedural antibiotics have changed as knowledge of the pathophysiology of joint infection has evolved. We review the current recommendations from subspecialty academic organizations regarding antibiotic prophylaxis for patients undergoing routine urologic, gastrointestinal, dental, and cardiac procedures after total joint replacement.

• 出版日期2016-8