General Assembly, Prevention, Host Related Local: Proceedings of International Consensus on Orthopedic Infections

Ares, Óscar; Arnold, William V.; Atilla, Bülent; Bari, Anurag Kumar; Battenberg, Andrew K.; Belzino, Mauro; Bhoite, Satyajeet; Clauss, Martin; Egoavil, Miguel S; Ferrand, Marcelo Lizarraga; Greenky, Max; Jorge, Sarango; Komnos, Georgios; Koo, Kyung‐Hoi; Lee, Yong Seuk; Leibnitz, Martinez; Luis, Eias; Naneti, Gino; Ottolenghi, Juan; Poojary, Aruna; Shen, Hao Cheng; Sousa, Ricardo; Thomas, Peter; Volodymyr, Filipenko; Wang, Qiaojie

doi:10.1016/j.arth.2018.09.049

Cited by 18 publications

(21 citation statements)

References 125 publications

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“…In the 2018 International Consensus on Orthopedic Infections, the questionnaire “Symptomatic UTI must be treated with appropriate antibiotics before proceeding with the surgery. In ASB, treatment should be discontinued as it does not increase the risk of a subsequent surgical site infection/PJI” was agreed upon by 96% of votes, a near unanimous consensus22).…”

Section: Resultsmentioning

confidence: 99%

Should a Urinary Tract Infection Be Treated before a Total Joint Arthroplasty?

Parvızı

Koo

2019

Hip & Pelvis

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Periprosthetic joint infection (PJI) is one of the most serious complications after total joint arthroplasty (TJA). The prevalence of urinary tract infection (UTI) is common, particularly among elderly women, a group for whom TJA may be required. The association between preoperative UTI and increased risk of PJI after TJA is unclear. We reviewed key articles concerning the relationship between UTIs and PJI, and summarized recommendations of international consensus on PJI, which was established in Philadelphia in July of 2018. In addition, we distinguish between symptomatic UTI and asymptomatic bacteriuria, because their causative effects on PJI are quite different.

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Section: Resultsmentioning

confidence: 99%

Should a Urinary Tract Infection Be Treated before a Total Joint Arthroplasty?

Parvızı

Koo

2019

Hip & Pelvis

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“…International Consensus Meeting on Orthopaedic Infection in 2018 did not recommend routine preoperative urinary screening, while symptomatic urinary tract infection should be treated with antibiotics before total joint arthroplasty. 79 Recent studies also found that asymptomatic bacteriuria has no causation relationship with PJI. Weale et al performed a retrospective review of more than 4000 arthroplasty patients.…”

Section: Urine Screeningmentioning

confidence: 99%

“…84 Furthermore, the International Consensus Meeting on Orthopaedic Infection in 2018 recognized the risk of hematogenous spread of oral pathogens in patients with poor oral hygiene and support patients with oral disease, and dentition should be optimized before arthroplasty. 79 However, due to limited evidence and the lack of prospective controlled studies, the workgroup in the International Consensus Meeting in 2018 did not support routine dental clearance before surgery. 79…”

Section: Dental Screeningmentioning

confidence: 99%

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Preoperative optimization to prevent periprosthetic joint infection in at-risk patients

Chan

et al. 2020

J Orthop Surg (Hong Kong)

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Periprosthetic joint infection (PJI) remains an important complication with devastating consequences after total joint arthroplasties. With the increasing number of arthroplasties worldwide, the number of PJI will increase correspondingly with a significant economic burden to our healthcare system. It is likely impossible to completely eradicate PJI; hence, assessment and optimization of its risk factors to preventing such a disastrous complication will be the key. There are many strategies to prevent PJI in the preoperative, intraoperative, or postoperative phases. The preoperative assessment provides a unique opportunity to screen and diagnose underlying comorbidities and optimize modifiable risk factors before elective surgeries. In this review, we will focus on current literature in preoperative assessment of various modifiable risk factors and share the experience and practical approach in our institution in preoperative optimization to reduce PJI in total joint arthroplasties.

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“…Instead, diagnosis is based upon a mixture of lab results, cultures, and clinical findings[7]. The implication of a dental source is often based upon both the identification of a pathogen considered to be a constituent of the patient’s oral flora at the infection site and the timing of the infection with a seeding procedure[8]. This premise is based upon the finding that many events such as dental scaling and brushing one’s teeth can cause transient bacteremia when dental pathology is present[9,10].…”

Section: Introductionmentioning

confidence: 99%

Impact of dental clearance on total joint arthroplasty: A systematic review

Frey¹,

Navarro²,

Blackwell³

et al. 2019

WJO

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Many orthopedic surgeons require that their patients obtain dental clearance before elective total joint arthroplasty (TJA). However, there is no consensus substantiating the practice. To this end, a systematic review on the prevalence of dental pathology in TJA patients, risk factors for failing dental screening, and impact of dental evaluations was performed. Literature was sourced from PubMed and Scopus databases. Six papers were sourced from the initial search, one study was extracted from the references of the original six manuscripts, and one new publication was retrieved from a second search conducted after the first. The prevalence of dental pathology ranged from 8.8% to 29.4% across studies. Two of four papers reported lower than average or improvements in post-operative infection with pre-operative dental evaluations while two found no such association. There is insufficient evidence to support universal dental clearance before TJA.

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General Assembly, Prevention, Host Related Local: Proceedings of International Consensus on Orthopedic Infections

Cited by 18 publications

References 125 publications

Should a Urinary Tract Infection Be Treated before a Total Joint Arthroplasty?

Should a Urinary Tract Infection Be Treated before a Total Joint Arthroplasty?

Preoperative optimization to prevent periprosthetic joint infection in at-risk patients

Impact of dental clearance on total joint arthroplasty: A systematic review

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