Prosthetic joint infection usually requires combined medical and surgical therapy. While revision surgery is widely considered to be the gold standard surgical procedure, debridement, antibiotics and irrigation with implant retention is a very appealing alternative.
What bacteria causes prosthetic joint infections?
Most prosthetic joint infections are the result of bacteria—often Staphylococcus aureus—present in the body or introduced during the surgery itself or subsequent procedures.
What is a prosthetic joint infection?
Prosthetic joint infection (PJI), also referred to as periprosthetic infection, is defined as infection involving the joint prosthesis and adjacent tissue.
How do you treat PJI?
In the United States, chronic PJI has been mainly treated via two-stage exchange arthroplasty with a 4 to 8 week course of IV antibiotics in between the two stages.
What antibiotics treat joint infections?
Drugs used to treat Joint Infection
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Can septic arthritis be seen on xray?
Early diagnosis can prevent complications that could ultimately lead to patient disability. The imaging workup for suspected septic arthritis includes radiography or ultrasound before surgical intervention to detect the effusion and to see whether an associated osteomyelitis is present.
Can a prosthetic get infected?
Prosthesis-related infection is a serious complication for patients after orthopedic joint replacement, which is currently difficult to treat with antibiotic therapy. Consequently, in most cases, removal of the infected prosthesis is the only solution to cure the infection.
What is prosthetic arthritis?
Prostheses replace joints that are very damaged by osteoarthritis by joints in synthetic materials. The indication is never urgent because it is, before all else, for improving comfort.
What does a joint infection feel like?
Symptoms are usually severe and include fever, redness, and swelling at the joint and intense pain that worsens with movement. In infants, symptoms may include a fever, the inability to move the limb with the infected joint, and crying when the infected joint is moved.
Can you have a joint infection without a fever?
Those who develop infections later usually notice a gradual onset of joint pain, often without fever or other obvious signs of joint infection.
What is Dair procedure?
Debridement Antibiotics and Implant Retention(DAIR) is a procedure to treat a periprosthetic joint infection(PJI) after Total Hip Arthroplasty(THA) or Total Knee Arthroplasty(TKA). The timing between the primary procedure and the DAIR is likely a determinant for its successful outcome.
What is the classical method in treatment of a late periprosthetic joint infection?
Debridement, antibiotics and implant retention (DAIR) is the primary treatment for acute PJI, and should be performed as soon as possible after the development of symptoms. Success rates differ, but most studies report success rates of around 60%-80%.