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

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. Recen...

Full description

Saved in:
Bibliographic Details
Published in:Current reviews in musculoskeletal medicine 2018-09, Vol.11 (3), p.325-331
Main Authors: Alamanda, Vignesh K., Springer, Bryan D.
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Orthopedics
Prosthetic Joint Infection (S Nodzo and N Frisch
Prosthetic Joint Infection (S Nodzo and N Frisch, section editors)
Rehabilitation Medicine
section editors
Sports Medicine
Surgery
Surgical Orthopedics
Topical Collection on Prosthetic Joint Infection
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1935-973X
1935-9748
DOI:10.1007/s12178-018-9494-z