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

J Bone Joint Surg Br. 2008 Jul;90(7):833-8. doi: 10.1302/0301-620X.90B7.20359.

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.

Publication types

  • Review

MeSH terms

  • Antibiotic Prophylaxis*
  • Bacteremia / prevention & control*
  • Dental Care / methods*
  • Dental Care for Chronically Ill / methods
  • Evidence-Based Medicine
  • Guidelines as Topic
  • Hip Prosthesis / adverse effects*
  • Humans
  • Knee Prosthesis / adverse effects*
  • Prosthesis-Related Infections / etiology
  • Prosthesis-Related Infections / prevention & control*