Update on Antibiotic Prophylaxis for Genitourinary Procedures in Patients with Artificial Joint Replacement and Artificial Heart Valves

Daniel J. Mazur; Daniel J. Fuchs; Travis O. Abicht; Terrance D. Peabody

doi:10.1016/j.ucl.2015.06.003

Update on Antibiotic Prophylaxis for Genitourinary Procedures in Patients with Artificial Joint Replacement and Artificial Heart Valves

Daniel J. Mazur^*, Daniel J. Fuchs, Travis O. Abicht, Terrance D. Peabody

^*Corresponding author for this work

Orthopaedic Surgery

Research output: Contribution to journal › Review article › peer-review

8 Scopus citations

Abstract

Infection of artificial joint replacements and heart valves is an uncommon but serious complication encountered anytime after the implantation of these prostheses. It is known that bacteremia can lead to infection of a prosthetic device. However, there is no strong evidence to correlate urologic procedures with the development of periprosthetic joint infection or prosthetic valve endocarditis. Therefore, antibiotic prophylaxis for the prevention of endocarditis is not recommended in patients undergoing urologic procedures. However, guidelines regarding prophylaxis to prevent infection of an artificial joint in the setting of a genitourinary procedure are more varied.

Original language	English (US)
Pages (from-to)	441-447
Number of pages	7
Journal	Urologic Clinics of North America
Volume	42
Issue number	4
DOIs	https://doi.org/10.1016/j.ucl.2015.06.003
State	Published - Nov 2015

Keywords

Antibiotic prophylaxis
Arthroplasty
Bacteremia
Endocarditis
Urologic surgical procedures

ASJC Scopus subject areas

Urology

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10.1016/j.ucl.2015.06.003

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title = "Update on Antibiotic Prophylaxis for Genitourinary Procedures in Patients with Artificial Joint Replacement and Artificial Heart Valves",

abstract = "Infection of artificial joint replacements and heart valves is an uncommon but serious complication encountered anytime after the implantation of these prostheses. It is known that bacteremia can lead to infection of a prosthetic device. However, there is no strong evidence to correlate urologic procedures with the development of periprosthetic joint infection or prosthetic valve endocarditis. Therefore, antibiotic prophylaxis for the prevention of endocarditis is not recommended in patients undergoing urologic procedures. However, guidelines regarding prophylaxis to prevent infection of an artificial joint in the setting of a genitourinary procedure are more varied.",

keywords = "Antibiotic prophylaxis, Arthroplasty, Bacteremia, Endocarditis, Urologic surgical procedures",

author = "Mazur, {Daniel J.} and Fuchs, {Daniel J.} and Abicht, {Travis O.} and Peabody, {Terrance D.}",

note = "Publisher Copyright: {\textcopyright} 2015 Elsevier Inc.",

year = "2015",

month = nov,

doi = "10.1016/j.ucl.2015.06.003",

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T1 - Update on Antibiotic Prophylaxis for Genitourinary Procedures in Patients with Artificial Joint Replacement and Artificial Heart Valves

AU - Mazur, Daniel J.

AU - Fuchs, Daniel J.

AU - Abicht, Travis O.

AU - Peabody, Terrance D.

PY - 2015/11

Y1 - 2015/11

N2 - Infection of artificial joint replacements and heart valves is an uncommon but serious complication encountered anytime after the implantation of these prostheses. It is known that bacteremia can lead to infection of a prosthetic device. However, there is no strong evidence to correlate urologic procedures with the development of periprosthetic joint infection or prosthetic valve endocarditis. Therefore, antibiotic prophylaxis for the prevention of endocarditis is not recommended in patients undergoing urologic procedures. However, guidelines regarding prophylaxis to prevent infection of an artificial joint in the setting of a genitourinary procedure are more varied.

AB - Infection of artificial joint replacements and heart valves is an uncommon but serious complication encountered anytime after the implantation of these prostheses. It is known that bacteremia can lead to infection of a prosthetic device. However, there is no strong evidence to correlate urologic procedures with the development of periprosthetic joint infection or prosthetic valve endocarditis. Therefore, antibiotic prophylaxis for the prevention of endocarditis is not recommended in patients undergoing urologic procedures. However, guidelines regarding prophylaxis to prevent infection of an artificial joint in the setting of a genitourinary procedure are more varied.

KW - Antibiotic prophylaxis

KW - Arthroplasty

KW - Bacteremia

KW - Endocarditis

KW - Urologic surgical procedures

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JO - Urologic Clinics of North America

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Update on Antibiotic Prophylaxis for Genitourinary Procedures in Patients with Artificial Joint Replacement and Artificial Heart Valves

Abstract

Keywords

ASJC Scopus subject areas

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