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Article: Antibiotic prophylaxis after total joint replacements

TitleAntibiotic prophylaxis after total joint replacements
Authors
KeywordsAntibiotic prophylaxis
Endoscopy
Infection
Replacement, arthroplasty
Surgical procedure, operative
Issue Date2009
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2009, v. 15 n. 6, p. 458-462 How to Cite?
AbstractObjectives: To review the latest evidence on antibiotic prophylaxis for patients with total joint replacements to prevent prosthesis infections. Data sources: Literature search of Medline and PubMed until June 2009. Study selection: Studies of patients with total joint replacements from around the world, studies concerning antibiotic prophylaxis, as well as chemoprophylaxis guidelines from orthopaedic associations were searched. Data extraction: Literature review, original articles, case reports, best practice guidelines. Data synthesis: With the rising incidence of patients with total joint replacements, subsequent deep infection of the implants is a rare but dreaded complication which has immense physiological, psychological, financial, and social implications. Guidelines from urologists, gastroenterologists, and dental surgeons attempt to identify high-risk patients who may be more susceptible to prosthetic joint infections. These patients are provided with prophylactic antibiotics before any invasive procedure that may cause bacterial seeding to prosthetic joints. Most orthopaedic associations around the world adopt a similar policy to provide prophylaxis to cover any anticipated chance of bacteraemia. The American Association of Orthopaedic Surgeons adopts the most cautious approach in which all patients with total joint replacements who undergo any procedure that breaches a mucosal surface receive prophylactic antibiotics. Conclusion: The guidelines from the American Association of Orthopaedic Surgeons seem to have an all-encompassing policy when it comes to providing prophylactic antibiotics. Nonetheless, physicians must still exercise their judgement and customise the treatment to each patient. The benefits of prophylactic antibiotics must be balanced against the risks of drug side-effects and the emergence of antibiotic resistance.
Persistent Identifierhttp://hdl.handle.net/10722/125178
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorKuong, EEen_HK
dc.contributor.authorNg, FYen_HK
dc.contributor.authorYan, CHen_HK
dc.contributor.authorFang, CXen_HK
dc.contributor.authorChiu, PKYen_HK
dc.date.accessioned2010-10-31T11:15:53Z-
dc.date.available2010-10-31T11:15:53Z-
dc.date.issued2009en_HK
dc.identifier.citationHong Kong Medical Journal, 2009, v. 15 n. 6, p. 458-462en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/125178-
dc.description.abstractObjectives: To review the latest evidence on antibiotic prophylaxis for patients with total joint replacements to prevent prosthesis infections. Data sources: Literature search of Medline and PubMed until June 2009. Study selection: Studies of patients with total joint replacements from around the world, studies concerning antibiotic prophylaxis, as well as chemoprophylaxis guidelines from orthopaedic associations were searched. Data extraction: Literature review, original articles, case reports, best practice guidelines. Data synthesis: With the rising incidence of patients with total joint replacements, subsequent deep infection of the implants is a rare but dreaded complication which has immense physiological, psychological, financial, and social implications. Guidelines from urologists, gastroenterologists, and dental surgeons attempt to identify high-risk patients who may be more susceptible to prosthetic joint infections. These patients are provided with prophylactic antibiotics before any invasive procedure that may cause bacterial seeding to prosthetic joints. Most orthopaedic associations around the world adopt a similar policy to provide prophylaxis to cover any anticipated chance of bacteraemia. The American Association of Orthopaedic Surgeons adopts the most cautious approach in which all patients with total joint replacements who undergo any procedure that breaches a mucosal surface receive prophylactic antibiotics. Conclusion: The guidelines from the American Association of Orthopaedic Surgeons seem to have an all-encompassing policy when it comes to providing prophylactic antibiotics. Nonetheless, physicians must still exercise their judgement and customise the treatment to each patient. The benefits of prophylactic antibiotics must be balanced against the risks of drug side-effects and the emergence of antibiotic resistance.en_HK
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.-
dc.subjectAntibiotic prophylaxisen_HK
dc.subjectEndoscopyen_HK
dc.subjectInfectionen_HK
dc.subjectReplacement, arthroplastyen_HK
dc.subjectSurgical procedure, operativeen_HK
dc.titleAntibiotic prophylaxis after total joint replacementsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=15&spage=458&epage=462&date=2009&atitle=Antibiotic+prophylaxis+after+total+joint+replacements-
dc.identifier.emailYan, CH:yanchoi@hku.hken_HK
dc.identifier.emailChiu, PKY:pkychiu@hkucc.hku.hken_HK
dc.identifier.authorityYan, CH=rp00303en_HK
dc.identifier.authorityChiu, PKY=rp00379en_HK
dc.description.naturepublished_or_final_versionen_US
dc.identifier.pmid19966351-
dc.identifier.scopuseid_2-s2.0-76749160373en_HK
dc.identifier.hkuros175954en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-76749160373&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue6en_HK
dc.identifier.spage458en_HK
dc.identifier.epage462en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridKuong, EE=35488089300en_HK
dc.identifier.scopusauthoridNg, FY=35603861800en_HK
dc.identifier.scopusauthoridYan, CH=35764094100en_HK
dc.identifier.scopusauthoridFang, CXS=15122128100en_HK
dc.identifier.scopusauthoridChiu, PKY=7202988127en_HK

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