Haematogenous prosthetic knee infections: Prospective cohort study of 58 patients

Stévignon, T.; Mouton, Antoine; Meyssonnier, Vanina; Kerroumi, Younes; Yazigi, Alexandre; Aubert, Thomas; Lhotellier, Luc; Strat, Vincent Le; Passeron, D.; Graff, Wilfrid; Zeller, Valérie; Heym, Béate; Marmor, Simon

doi:10.1016/j.otsr.2019.02.022

Cited by 10 publications

(2 citation statements)

References 43 publications

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“…Inconclusive evidence, however, a risk-associated procedure on the urogenital system (endoscopic or open surgery, prostate gland biopsy, extracorporeal lithotripsy) could be subject to ATB prophylaxis [197][198][199] Skin infections Treat emergently all erysipelas as it can affect previously healthy TKA [199][200][201][202] Postoperative immunosuppressive therapy Reduce doses of glucocorticoids because prednisone increases risk for a postoperative infection (OR 1.59, P < 0.001) [203] Propensity-adjusted HR 1.36 (95% CI, 0.90-2.04) for 5-10 mg and 1.86 (95% CI, 1.02-3.37) for >10 mg [47] described in detail elsewhere [69] ATB: antibiotic; PJA: prosthetic joint infection; THA: total hip arthroplasty; TKA: total knee arthroplasty, HR: hazard ratio.…”

Section: Dental Interventionmentioning

confidence: 99%

Prevention of Prosthetic Joint Infection: From Traditional Approaches towards Quality Improvement and Data Mining

Gallo

Nieslanikova

2020

JCM

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A projected increased use of total joint arthroplasties will naturally result in a related increase in the number of prosthetic joint infections (PJIs). Suppression of the local peri-implant immune response counters efforts to eradicate bacteria, allowing the formation of biofilms and compromising preventive measures taken in the operating room. For these reasons, the prevention of PJI should focus concurrently on the following targets: (i) identifying at-risk patients; (ii) reducing “bacterial load” perioperatively; (iii) creating an antibacterial/antibiofilm environment at the site of surgery; and (iv) stimulating the local immune response. Despite considerable recent progress made in experimental and clinical research, a large discrepancy persists between proposed and clinically implemented preventative strategies. The ultimate anti-infective strategy lies in an optimal combination of all preventative approaches into a single “clinical pack”, applied rigorously in all settings involving prosthetic joint implantation. In addition, “anti-infective” implants might be a choice in patients who have an increased risk for PJI. However, further progress in the prevention of PJI is not imaginable without a close commitment to using quality improvement tools in combination with continual data mining, reflecting the efficacy of the preventative strategy in a particular clinical setting.

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Section: Dental Interventionmentioning

confidence: 99%

Prevention of Prosthetic Joint Infection: From Traditional Approaches towards Quality Improvement and Data Mining

Gallo

Nieslanikova

2020

JCM

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“…Some authors found HOPI rates after total knee arthroplasty of 22.1%, out of which one-third occurred in immunocompromised patients, 4.2% were related to dental procedures, and 7.2% to cutaneous infections. In the remaining cases, they did not find a causal factor [ 35 ]. Thus, their incidence is very low (2.9%; 6/224) and usually related to dental abscesses [ 36 ], and often it is hard to prove the relationship between a HOPI to the carried out dental treatment.…”

Section: Discussionmentioning

confidence: 99%

Is Antibiotic Prophylaxis Necessary before Dental Implant Procedures in Patients with Orthopaedic Prostheses? A Systematic Review

et al. 2022

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As the population ages, more and more patients with orthopaedic prostheses (OPs) require dental implant treatment. Surveys of dentists and orthopaedic surgeons show that prophylactic antibiotics (PAs) are routinely prescribed with a very high frequency in patients with OPs who are about to undergo dental procedures. The present study aims to determine the need to prescribe prophylactic antibiotic therapy in patients with OPs treated with dental implants to promote their responsible use and reduce the risk of antimicrobial resistance. An electronic search of the MEDLINE database (via PubMed), Web of Science, LILACS, Google Scholar, and OpenGrey was carried out. The criteria used were those described by the PRISMA® Statement. No study investigated the need to prescribe PAs in patients with OPs, so four studies were included on the risk of infections of OPs after dental treatments with varying degrees of invasiveness. There is no evidence to suggest a relationship between dental implant surgeries and an increased risk of OP infection; therefore, PAs in these patients are not justified. However, the recommended doses of PAs in dental implant procedures in healthy patients are the same as those recommended to avoid infections of OPs.

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Modalités et chances de succès de la reprise précoce avec conservation du matériel dans les infections sur prothèse articulaire

Boyer¹,

Cazorla²

2020

Conférences d'Enseignement 2020

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Haematogenous prosthetic knee infections: Prospective cohort study of 58 patients

Cited by 10 publications

References 43 publications

Prevention of Prosthetic Joint Infection: From Traditional Approaches towards Quality Improvement and Data Mining

Prevention of Prosthetic Joint Infection: From Traditional Approaches towards Quality Improvement and Data Mining

Is Antibiotic Prophylaxis Necessary before Dental Implant Procedures in Patients with Orthopaedic Prostheses? A Systematic Review

Modalités et chances de succès de la reprise précoce avec conservation du matériel dans les infections sur prothèse articulaire

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