Infected total hip replacement after dental procedures

The antibacterial effects of zinc ion migration from zinc-based glass polyalkenoate cements

“…Thus, the two bacteria analysed in this study, as well as being common caries-associated species, were selected as representative of the many bacterial species isolated from infected hip joints. In addition, there is a recognised link between caries-causing microorganisms and bacterial infection of prosthetic hip joints, with a number of studies reporting THA infections that were preceded by dental work and associated with bacteria that are normally found exclusively in the mouth [28][29][30][31]. The growth inhibitory effects observed with S. mutans and A. viscosus in this work are therefore clearly of relevance to prevention of THA infections in a clinical setting.…”

Premedication of Patients Undergoing Dental Procedures Causing Bacteremia after Total Joint Arthroplasty

“…Although colonization at the time of joint replacement surgery with S. aureus, S. epidermidis, gram-negative rods, and Enterococcus remains the primary source of infection for a total joint replacement, oral organisms such as Streptococcus sanguis, transported via hematogenous spread, have been identified in only a few case reports of failed joint prosthesis in patients with dental interventions in which the infecting organism was cultured from saliva, blood, and the infected joint and was also cultured from urine (16).…”

Prosthetic joint infections. A role for prophylaxis

“…Improvements in surgical techniques and prosthetic design, the perioperative use of antibiotics, and the recognition of the high-risk patient (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12) have contributed significantly to the reduction in the occurrence of early prosthetic joint infections. Late prosthetic joint infections, their cause, and their prevention continue to be a subject of much discussion among internists, primary care physicians, orthopedic surgeons, rheumatologists, and dentists (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32). Although general and specific guidelines for the prophylactic use of antibi-otics in the prevention of late prosthetic joint infection have been proposed (33), such a regimen is far from being accepted as the standard of care.…”

“…A number of reports which have included a list of bacteria isolated from the infected joint have shown that an established infection elsewhere in the body may seed the prosthetic joint (10,16,18,13). In cases of established pneumonia, skin infection, or genitourinary infection, it would seem prudent to treat these disorders early and vigorously with antibiotics.…”