Hip prosthesis | Health Care Workout
There were 339 case patients and 339 control patients evaluated between December 2001 and May 2006. Case patients were those diagnosed with prosthetic hip or knee infections who were hospitalized at the Mayo Clinic. The control subjects were patients with prosthetic hips or knees with no infections, but who were hospitalized for: (1) an arthroplasty of a different site or side of the index total hip or knee arthroplasty, (2) for aseptic revision of the index arthroplasty, or (3) for other orthopedic procedures. Dental records were obtained from each patient's dentist. Dental procedures were categorized into low-risk and high-risk procedures. Low-risk procedures included restorative dentistry, dental filling, endodontic treatment, and fluoride treatment. High-risk procedures included dental hygiene, mouth surgery, periodontal treatment, dental extraction, and therapy for dental abscess. Hip or knee infections were determined using routine microbiological techniques that isolated the bacterial flora. In addition, a dental propensity score was calculated for each patient that predicted the propensity of each patient to visit a dentist.
If dental work leads to infected prosthetic joints, ..
Hip and Knee replacement surgeries have excellent outcomes provided the patients assist in a motivated recovery
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In view of the previous statement, the authors emphasize that it is inconsistent to recommend prophylaxis of prosthetic hip or knee infection for dental procedures but not to recommend prophylaxis for the same patients during routine daily activities. Of course, a recommendation for universal prophylaxis for routine daily activities is impractical and impossible. However, it is important to emphasize that maintaining good oral hygiene and eradicating dental disease is a key to decreasing the frequency of bacteremia from routine daily activities.
Antibiotics for Dental Work Following Joint Replacement
Poor dental hygiene, periodontal, and periapical infections probably produce bacteremia in the absence of dental procedures. In the Mayo Clinic study, the authors indicated that patients with >1 dental hygiene visit were 30% less likely to develop prosthetic hip or knee infection. The authors' suggested that the reported prosthetic joint infections attributed to dental procedures were more likely to have been caused by bacteremia related to routine daily activities than by bacteremia related to dental procedures.
Infected total hip replacement after dental procedures.
It resulted from the pioneering efforts of Sir John Charnley, an orthopaedic surgeon who worked with engineers to develop the techniques and materials used in hip joint replacement. When replacing a diseased hip joint, an orthopaedic surgeon inserts an artificial joint called a prosthesis.
06/02/2017 · Rubin R, Salvati EA, Lewis R
The study also addressed whether dental procedures were a risk factor for subsequent prosthetic hip or knee infections in patients who were immunocompromised, had diabetes, had a prior arthroplasty, had duration of prosthetic joint infection symptoms of
Do people with artificial joints need antibiotics before …
The 35 patients with prosthetic hip or knee infection associated with dental flora pathogens were compared to a randomly selected group of 35 control patients. The data showed no increased risk of total hip or knee infection regardless of the use of antibiotic prophylaxis.
Antibiotic Prophylaxis and Dental Treatment in …
For major dental work after a joint replacement ( such as root canal etc) I recommend a single dose of 2gm amoxicillin 1 hour before provided you are not allergic to amoxil.
COLONOSCOPY, Prostate, Bladder or Gynaecological procedures after joint replacement :
Routine colonoscopy without any major biopsies or risk of bleeding do not require prophylactic antibiotic cover.
Surgery to the bladder, bowel, gynaecological and prostate surgery require a single intravenous antibiotic dose that is administered by the surgeon at the time of the procedure.