Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee

I. Uçkay; D. Pittet; L. Bernard; D. Lew; A. Perrier; R. Peter

doi:10.1302/0301-620X.90B7.20359

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Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee

I. Uçkay
D. Pittet
L. Bernard
D. Lew
A. Perrier
R. Peter

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Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee

Uçkay I, Pittet D, Bernard L, Lew D, Perrier A, Peter R. Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee. J Bone Joint Surg Br. 2008;90-B(7):833-838. doi:10.1302/0301-620X.90B7.20359

Uçkay, I., et al. “Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee.” The Journal of Bone & Joint Surgery British Volume, vol. 90-B, no. 7, 2008, pp. 833-838., https://doi.org/10.1302/0301-620X.90B7.20359

Uçkay, I., Pittet, D., Bernard, L., Lew, D., Perrier, A., & Peter, R. (2008). Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee. The Journal of Bone & Joint Surgery British Volume, 90-B(7), 833-838. https://doi.org/10.1302/0301-620X.90B7.20359

Uçkay, I., Pittet, D., Bernard, L., Lew, D., Perrier, A. and Peter, R. (2008) “Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee.” The Journal of Bone & Joint Surgery British Volume, 90-B(7), pp. 833-838. Available at: https://doi.org/10.1302/0301-620X.90B7.20359

Uçkay, I., D. Pittet, L. Bernard, D. Lew, A. Perrier, and R. Peter. “Antibiotic prophylaxis before invasive dental procedures in patients with arthroplasties of the hip and knee.” The Journal of Bone & Joint Surgery British Volume 90-B, no. 7 (2008): 833-838. https://doi.org/10.1302/0301-620X.90B7.20359

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Abstract

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.

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

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