Is Routine Antibiotic Prophylaxis Cost Effective for Total Joint Replacement Patients?

被引:9
作者
Slover, James D. [1 ]
Phillips, Michael S. [2 ]
Iorio, Richard [1 ]
Bosco, Joseph [1 ]
机构
[1] NYU, Langone Med Ctr, Dept Orthopaed Surg, New York, NY 10003 USA
[2] NYU, Langone Med Ctr, Dept Epidemiol, New York, NY 10003 USA
关键词
antibiotic prophylaxis; dental procedures; total hip replacement; total knee replacement; infections; TOTAL HIP; ECONOMIC BURDEN; INFECTION; IMPACT; ARTHROPLASTY; ANAPHYLAXIS; PREVENTION; OUTCOMES;
D O I
10.1016/j.arth.2014.11.001
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The routine use of amoxicillin antibiotic prophylaxis prior to dental procedures for patients with total joint prostheses in place remains controversial. This analysis shows that the practice may not be cost-effective for patients in whom the risk of infection with dental work is low. However, specific data quantifying the risk and the impact prophylactic antibiotics can have is needed. Patients and physicians will need to continue to consider their use on an individual basis and should consider the risk of infection as well as the risk of adverse drug reaction when making treatment decisions. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:543 / 546
页数:4
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