Patient perceptions of antibiotic prophylaxis for dental procedures after total joint arthroplasty

Niall H Cochrane; Cole S Pachter; Jonathan H Garfinkel; Thomas B Gladnick; Elizabeth P Gladnick; David W Romness; Brian P Gladnick

doi:10.1016/j.jor.2019.08.028

Patient perceptions of antibiotic prophylaxis for dental procedures after total joint arthroplasty

J Orthop. 2019 Aug 14:17:22-24. doi: 10.1016/j.jor.2019.08.028. eCollection 2020 Jan-Feb.

Authors

Niall H Cochrane¹, Cole S Pachter², Jonathan H Garfinkel¹, Thomas B Gladnick³, Elizabeth P Gladnick³, David W Romness², Brian P Gladnick^{4

5}

Affiliations

¹ Georgetown University School of Medicine, 3900 Reservoir Road NW, Washington, DC, 20007, USA.
² OrthoVirginia, 1635 N. George Mason Drive, Suite 310, Arlington, VA, 22205, USA.
³ Gladnick Family and Cosmetic Dentistry, 15215 Shady Grove Road, Suite 103, Rockville, MD, 20850, USA.
⁴ W.B. Carrell Memorial Clinic, Adult Hip and Knee Reconstruction, 9301 N. Central Expressway, Suite 500, Dallas, TX, 75231, USA.
⁵ Texas Health Presbyterian Hospital Dallas, Department of Orthopaedic Surgery, 8200 Walnut Hill Lane, Dallas, TX, 75231, USA.

Abstract

Objective: Investigating patients' perceptions regarding need for antibiotic prophylaxis during dental procedures after undergoing joint arthroplasty.

Methods: Questionnaire was administered to patients presenting at: 1)an orthopaedic office; 2)a dental office; regarding perceptions of antibiotic prophylaxis.

Results: 36 orthopaedic patients responded "Yes" to always taking prophylaxis; 36 patients responded "No" (36/72, 50.0% compliance). Five dental patients responded "Yes" to always taking prophylaxis; 19 patients responded "No" (5/24, 20.8% compliance) (p = 0.017). 67/135 orthopaedic patients (49.6%) endorsed some form of dental prophylaxis, versus 34/58 dental patients (58.6%) (p = 0.27).

Conclusion: Patient perceptions of the need for dental prophylaxis vary within orthopaedic and dental practices.

Keywords: Antibiotic prophylaxis; Dental procedure; Patient perception; Total joint arthroplasty.