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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 7, 833-838.
doi: 10.1302/0301-620X.90B7.20359  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee

I. Uçkay, MD, Infectious Disease Consultant1; D. Pittet, MD, MS, Professor of Medicine, Control, Infection Control Programme1; L. Bernard, MD, Professor of Infectious Diseases2; D. Lew, MD, Professor of Infectious Diseases1; A. Perrier, MD, Professor of Medicine1; and R. Peter, MD, Professor of Orthopaedic Surgery1

1 University of Geneva Hospitals and Faculty of Medicine, 24 Rue Micheli-du-Crest, 1211 Geneva 14, Switzerland.
2 Raymond Poincaré University Hospital, 104 Boulevard Raymond Poincaré, 92380 Garches, France.

Correspondence should be sent to Professor D. Pittet; e-mail: didier.pittet{at}hcuge.ch

More than a million hip replacements are carried out each year worldwide, and the number of other artificial joints inserted is also rising, so that infections associated with arthroplasties have become more common. However, there is a paucity of literature on infections due to haematogenous seeding following dental procedures. We reviewed the published literature to establish the current knowledge on this problem and to determine the evidence for routine antibiotic prophylaxis prior to a dental procedure.

We found that antimicrobial prophylaxis before dental interventions in patients with artificial joints lacks evidence-based information and thus cannot be universally recommended.




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T. F. Oswald and F. K. Gould
Dental treatment and prosthetic joints: ANTIBIOTICS ARE NOT THE ANSWER!
J Bone Joint Surg Br, July 1, 2008; 90-B(7): 825 - 826.
[Abstract] [Full Text] [PDF]


(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General