Prevention of orthopaedic implant infection in patients undergoing dental procedures

William Watters, Michael P. Rethman, Nicholas Buck Hanson, Elliot Abt, Paul A. Anderson, Karen C. Carroll, Harry C. Futrell, Kevin Garvin, Stephen O. Glenn, John Hellstein, Angela Hewlett, David Kolessar, Calin Moucha, Richard J. O'Donnell, John E. O'Toole, Douglas R. Osmon, Richard Parker Evans, Anthony Rinella, Mark J. Steinberg, Michael GoldbergHelen Ristic, Kevin Boyer, Patrick Sluka, William Robert Martin, Deborah S. Cummins, Sharon Song, Anne Woznica, Leeaht Gross

Research output: Contribution to journalArticle

53 Scopus citations

Abstract

The Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures evidence-based clinical practice guideline was codeveloped by the American Academy of Orthopaedic Surgeons (AAOS) and the American Dental Association. This guideline replaces the previous AAOS Information Statement, "Antibiotic Prophylaxis in Bacteremia in Patients With Joint Replacement," published in 2009. Based on the best current evidence and a systematic review of published studies, three recommendations have been created to guide clinical practice in the prevention of orthopaedic implant infections in patients undergoing dental procedures. The first recommendation is graded as Limited; this recommendation proposes that the practitioner consider changing the long-standing practice of routinely prescribing prophylactic antibiotic for patients with orthopaedic implants who undergo dental procedures. The second, graded as Inconclusive, addresses the use of oral topical antimicrobials in the prevention of periprosthetic joint infections. The third recommendation, a Consensus statement, addresses the maintenance of good oral hygiene.

Original languageEnglish (US)
Pages (from-to)180-189
Number of pages10
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume21
Issue number3
DOIs
StatePublished - Mar 2013

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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    Watters, W., Rethman, M. P., Hanson, N. B., Abt, E., Anderson, P. A., Carroll, K. C., Futrell, H. C., Garvin, K., Glenn, S. O., Hellstein, J., Hewlett, A., Kolessar, D., Moucha, C., O'Donnell, R. J., O'Toole, J. E., Osmon, D. R., Evans, R. P., Rinella, A., Steinberg, M. J., ... Gross, L. (2013). Prevention of orthopaedic implant infection in patients undergoing dental procedures. Journal of the American Academy of Orthopaedic Surgeons, 21(3), 180-189. https://doi.org/10.5435/JAAOS-21-03-180