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Title: Prosthetic joint infections
Authors: Fsadni, Claudia
Fsadni, Peter
Keywords: Artificial joints -- Infections
Artificial joints -- Infections -- Pathogenesis
Artificial joints -- Infections -- Therapy
Issue Date: 2013
Publisher: Malta Medical Journal
Citation: Malta Medical Journal. 2013, Vol.25(1), p. 15-20
Abstract: Objectives: To review the available literature on prosthetic joint infections and provide recommendations on management particularly the importance of identifying the causative organism and starting the most appropriate antimicrobial therapy. Methods: The medical literature was searched using PubMed, employing the key words prosthetic joint infections. There appears to be no UK consensus guidelines on the management of prosthetic joint infections or the use of prophylactic antibiotics to prevent them. There is however a number of key documents and trust policies which deal with the subject extensively. We also made use of ‘The Sanford Guide to Antimicrobial therapy 2012’ for the latest recommendations on the correct antimicrobial therapy. Conclusion: Although diagnosis is often difficult, there are a number of investigations which can help us identify the organism. We recommend that the local prevalence of such infections is studied together with identification of the commonest organisms. Work is already underway between the infectious disease team and orthopaedic surgeons to devise locally adapted protocols for the identification and management of such infections. They should work in close liaison to implement the correct treatment which often involves a combination of both surgical and antimicrobial therapy.
Appears in Collections:MMJ, Volume 25, Issue 1
MMJ, Volume 25, Issue 1
Scholarly Works - FacM&SMed

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