2019
DOI: 10.2106/jbjs.rvw.18.00152
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Diagnosis and Management of Periprosthetic Joint Infection After Shoulder Arthroplasty

Abstract: The indolent microorganisms responsible for shoulder periprosthetic joint infection make diagnosis difficult because they do not have clear clinical signs or reliable serum laboratory markers.» Administering benzoyl peroxide to the skin of the surgical site and intra-articular injections of antibiotics during a surgical procedure have shown potential for preventing periprosthetic joint infection in patients undergoing shoulder arthroplasty.

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Cited by 36 publications
(22 citation statements)
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“…Treatment strategy depends on infection timing: within 30 days after surgery, a surgical debridement with polyethylene exchange (and glenosphere in RSA) may be appropriate [ 14 ]. In cases of hematogenous infection 30 days or more after surgery, implant removal with tissues debridement, one-stage or two-stage procedure (followed by species-directed antibiotic administration), should be considered [ 10 , 14 , 15 ]. Finally, in chronic infections in less serious cases or in patients who are ineligible for revision, surgical debridement with implant removal, antibiotic spacer placement, or simple resection arthroplasty would be the treatment of choice.…”
Section: Introductionmentioning
confidence: 99%
“…Treatment strategy depends on infection timing: within 30 days after surgery, a surgical debridement with polyethylene exchange (and glenosphere in RSA) may be appropriate [ 14 ]. In cases of hematogenous infection 30 days or more after surgery, implant removal with tissues debridement, one-stage or two-stage procedure (followed by species-directed antibiotic administration), should be considered [ 10 , 14 , 15 ]. Finally, in chronic infections in less serious cases or in patients who are ineligible for revision, surgical debridement with implant removal, antibiotic spacer placement, or simple resection arthroplasty would be the treatment of choice.…”
Section: Introductionmentioning
confidence: 99%
“…Risk factors for decreased clinical outcomes include male sex, young age, obesity, diabetes mellitus, active smoking, rheumatoid arthritis, or revision surgery. 3,13,17,20,21,31,34 Periprosthetic joint infections may occur to 1.1%-3.8%, 6 with higher numbers in septic revision cases. Theoretically, a postinfectious native shoulder might also be considered as a risk factor for new or recurrent infection after RTSA.…”
mentioning
confidence: 99%
“…1 Shoulder PJI frequently presents nonspecifically with shoulder pain but should be suspected in cases of postoperative stiffness and osteolysis. 2 Evaluation of potential shoulder PJI is difficult, owing to the indolent nature of many such infections. Normal inflammatory markers, negative cultures after shoulder aspiration, and normal radiographic findings despite existence of infection are commonly encountered.…”
mentioning
confidence: 99%
“…4 The most frequently isolated organisms have been Cutibacterium acnes, Staphylococcus epidermidis, and Staphylococcus aureus. 2 Treatment goals for shoulder PJI include eradication of the infection, decreased pain, and increased function.…”
mentioning
confidence: 99%
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