Faculty Sponsor

Jana Stedman

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College

Nursing

Department/Program

Physician Assistant Program

Presentation Type

Poster Presentation

Symposium Date

Summer 7-24-2024

Abstract

Objectives: Prosthetic joint infection can be caused by several infective routes but can cause severe management and provide difficult outcomes in quality of life. This research paper aims to determine the role and viability of antibiotic prophylaxis in those with joint arthroses prior to invasive dental procedures. In addition, the determination of harm made to the patient if antibiotic prophylaxis is continued. Methods: Multiple search terms including Prophylaxis, prophylactic antibiotics, total joint arthroplasty, joint arthroplasty, minor procedure, Joint replacement, Invasive Dental prophylaxis and Dental procedures were used on platforms such as PubMed, Google Scholar, Elsevier and EBSCOhost to perform a literature review of multiple sources within the last 5 years from 2019-2024. Results: Multiple sources show that antibiotic prophylaxis does not decrease the occurrence of prosthetic joint infection following invasive dental procedures. Other prevention measures actually show a decreased rate of bacteremia and seeding of oral bacterial strains. Conclusion: Antibiotic prophylaxis has no true role prior to normal invasive dental procedures and thus the rate of infection is overexaggerated. Options such as oral hygiene management and chlorhexidine mouth washes should be used to decrease the risk of oral bacterial spread to joint prostheses.

Keywords: prosthetic joint infection(s), invasive dental procedures, antibiotic prophylaxis, bacteremia, hematogenous bacteremia, biofilm prophylaxis

Objectives: Prosthetic joint infection can be caused by several infective routes but can cause severe management and provide difficult outcomes in quality of life. This research paper aims to determine the role and viability of antibiotic prophylaxis in those with joint arthroses prior to invasive dental procedures. In addition, the determination of harm made to the patient if antibiotic prophylaxis is continued. Methods: Multiple search terms including Prophylaxis, prophylactic antibiotics, total joint arthroplasty, joint arthroplasty, minor procedure, Joint replacement, Invasive Dental prophylaxis and Dental procedures were used on platforms such as PubMed, Google Scholar, Elsevier and EBSCOhost to perform a literature review of multiple sources within the last 5 years from 2019-2024. Results: Multiple sources show that antibiotic prophylaxis does not decrease the occurrence of prosthetic joint infection following invasive dental procedures. Other prevention measures actually show a decreased rate of bacteremia and seeding of oral bacterial strains. Conclusion: Antibiotic prophylaxis has no true role prior to normal invasive dental procedures and thus the rate of infection is overexaggerated. Options such as oral hygiene management and chlorhexidine mouth washes should be used to decrease the risk of oral bacterial spread to joint prostheses.

Biographical Information about Author(s)

Nathan Janowicz has a special interest in Orthopedics and plans on working in either family medicine or orthopedics following graduation. They will be presenting on “The Viability of Antibiotic Prophylaxis in Invasive Dental Procedures Post Joint Arthroplasty” because they have a special interest in joint replacement, overall long-term viability, and prevention of biofilm infections.

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