[Antibiotic prophylaxis for late blood-borne infections of joint prostheses]

Rossi, M; Zimmerli, W; Furrer, H; Zanetti, G; Mühlemann, K; Täuber, MG; Schweizerische, Gesellschaft für Infektiologie (2005). [Antibiotic prophylaxis for late blood-borne infections of joint prostheses]. Schweizerische Monatsschrift für Zahnmedizin, 115(6), pp. 571-9. Bern: Schweizerische Zahnärzte-Gesellschaft

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By analogy with endocarditis prophylaxis, patients with joint prostheses are often given antibiotics before invasive procedures or dental treatment. However, this analogy is not justified: The pathogenesis and bacterial spectrum of infections of artificial joints differ from those of endocarditis. Since the efficacy of administering prophylactic antibiotics to patients with joint prostheses has never been scientifically proven, there is no general indication for such prophylaxis. On the other hand, infections in other parts of the body should be actively sought and treated promptly. Prophylactic antibiotic administration may be appropriate in individual cases during a procedure in patients who are at increased risk of a haematogenic prosthesis infection as a result of bacteraemia. For operations routinely performed under perioperative antibiotic cover, the same prophylaxis should also be used for patients with joint prostheses.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Infectiology

UniBE Contributor:

Furrer, Hansjakob and Täuber, Martin G.

ISSN:

0256-2855

ISBN:

16033021

Publisher:

Schweizerische Zahnärzte-Gesellschaft

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:59

Last Modified:

04 May 2014 23:17

PubMed ID:

16033021

URI:

https://boris.unibe.ch/id/eprint/25668 (FactScience: 60434)

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