Perioperative and Modifiable Risk Factors for Periprosthetic Joint Infections (PJI) and Recommended Guidelines

Perioperative and Modifiable Risk Factors for Periprosthetic Joint Infections (PJI) and... Purpose of Review Periprosthetic joint infection (PJI) remains a complication that is associated with high morbidity as well as high healthcare expenses. The purpose of this review is to examine patient and perioperative modifiable risk factors that can be altered to help improve rates of PJI. Recent Findings Evidence-based review of literature shows that improved control of post-operative glycemia, appropriate management of obesity, malnutrition, metabolic syndrome, preoperative anemia, and smoking cessation can help minimize risk of PJI. Additionally, use of Staphylococcus aureus screening, preoperative evaluation of vitamin D levels, screening for urinary tract infection, and examination of dental hygiene can help with improving rates of PJI; similarly, appropriate management of perioperative variables such as limiting operating room traffic, appropriate timing, and selection of prophylactic antibiotics and surgical site preparation can help to decrease rates of PJI. Summary In summary, PJI is a morbid complication of total joint arthroplasty. Surgeons should be vigilant of modifiable risk factors that can be improved upon to help minimize the risk of PJI. . . Keywords Periprosthetic joint infection Modifiable risk factors Perioperative risk factors Introduction 174% and the demand for total knee arthroplasties is projected to grow by 673% [4]. Similar increases are http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Reviews in Musculoskeletal Medicine Springer Journals

Perioperative and Modifiable Risk Factors for Periprosthetic Joint Infections (PJI) and Recommended Guidelines

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Orthopedics; Sports Medicine; Rehabilitation Medicine; Surgical Orthopedics; Minimally Invasive Surgery; Surgery
eISSN
1935-9748
D.O.I.
10.1007/s12178-018-9494-z
Publisher site
See Article on Publisher Site

Abstract

Purpose of Review Periprosthetic joint infection (PJI) remains a complication that is associated with high morbidity as well as high healthcare expenses. The purpose of this review is to examine patient and perioperative modifiable risk factors that can be altered to help improve rates of PJI. Recent Findings Evidence-based review of literature shows that improved control of post-operative glycemia, appropriate management of obesity, malnutrition, metabolic syndrome, preoperative anemia, and smoking cessation can help minimize risk of PJI. Additionally, use of Staphylococcus aureus screening, preoperative evaluation of vitamin D levels, screening for urinary tract infection, and examination of dental hygiene can help with improving rates of PJI; similarly, appropriate management of perioperative variables such as limiting operating room traffic, appropriate timing, and selection of prophylactic antibiotics and surgical site preparation can help to decrease rates of PJI. Summary In summary, PJI is a morbid complication of total joint arthroplasty. Surgeons should be vigilant of modifiable risk factors that can be improved upon to help minimize the risk of PJI. . . Keywords Periprosthetic joint infection Modifiable risk factors Perioperative risk factors Introduction 174% and the demand for total knee arthroplasties is projected to grow by 673% [4]. Similar increases are

Journal

Current Reviews in Musculoskeletal MedicineSpringer Journals

Published: Jun 4, 2018

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