Description
Book SynopsisA periprosthetic joint infection occurs when bacteria or other foreign organisms enter a wound during or at any point following joint replacement surgery, sometimes even years after surgery. An infection can cause the joint to be painful or cause the implant to loosen, sometimes resulting in the need for revision surgery (Science Daily).
Written by a recognised author and editor team led Philadelphia-based by Javad Parvizi, this practical guide offers advice on the management of surgical site infections following orthopaedic procedures.
Divided into five sections, this new edition covers basics of infection, preoperative medical optimisation, intraoperative and postoperative optimisation, diagnosis of infection, and treatment of periprosthetic joint infection.
The second edition has been fully revised and new topics added to provide orthopaedic surgeons with the latest advances in the field.
Editor, Javad Parvizi, was vice chair of the work group for The Diagnosis of Periprosthetic Joint Infections of the Hip and Knee Guideline and Evidence Report, adopted by the AAOS in 2010.
Key points
- Practical guide to management of surgical site infections following orthopaedic procedures
- Fully revised second edition with new topics added
- Recognised editor and author team led by Philadelphia-based Javad Parvizi
- Previous edition (9789350902714) published in 2013
Table of ContentsSection 1: Basics of Infection
- Definition of Periprosthetic Joint Infections
- Incidence and Burden of Periprosthetic Joint Infection
- Economic Burden of Periprosthetic Joint Infection
- Common Antibiotics and Mechanism of Action
- Biofilm
- Multidisciplinary Approach to Management of Periprosthetic Joint Infections
- Future Trends and Challenges
Section 2: Preoperative Medical Optimization
- Predisposing Factors for Periprosthetic Joint Infection
- Perioperative Management of Diabetes Mellitus and Hyperglycemia
- Malnutrition and Obesity
- Cigarette and Tobacco Risks
- Prior Intra-articular Joint Injection and Risk of Infection
- Perioperative Management of Home Medications and Supplements
- Inflammatory Arthropathy
- Total Joint Arthroplasty in Patients with Prior Septic Arthritis
- Perioperative Management of Concomitant Infections
- Conversion Arthroplasty with Hardware in Situ
- Liver and Kidney Disease
- Anemia
- Peripheral Vascular Disease
- Alcohol and Drug Use
- Depression and Other Psychiatric Illnesses
- Anticoagulation and Prosthetic Joint Infection
- Infection Prevention Guidelines
Section 3: Intraoperative and Postoperative Optimization
- Preoperative Skin Preparation: Decolonization and Antisepsis
- Operating Room Environment
- Incise Drapes
- Antibiotic Prophylaxis
- Workup of Patients with Suspected Urinary Tract Infection
- Irrigation Solutions in Total Joint Arthroplasty
- Cement and Antibiotics
- Blood Conservation
- Wound Closure and Drain Use
- Postarthroplasty Antibiotic Prophylaxis
Section 4: Diagnosis of Infection
- Available Diagnostic Laboratory Tests and Molecular Biomarkers
- Joint Aspiration
- Imaging for Diagnosis of Periprosthetic Joint Infection
- Culture Principles
- Culture-negative Periprosthetic Joint Infections
- Diagnosis of Periprosthetic Joint Infection in Inflammatory Conditions
- Diagnosis of Periprosthetic Joint Infection in Adverse Metal Reaction
- Diagnosing Periprosthetic Joint Infection: The Rothman Institute Algorithm
Section 5: Treatment of Periprosthetic Joint Infection
- Management of Wound Drainage
- Management of Fungal Periprosthetic Joint Infections
- Management of Mycobacterial Infection
- Management of Periprosthetic Joint Infection Caused by Enterococcus
- Periprosthetic Joint Infection Caused by Rare Organisms
- Irrigation and Debridement for Periprosthetic Joint Infection
- One-stage Exchange Arthroplasty for Periprosthetic Joint Infection
- Resection Arthroplasty
- Removal of Well-fixed Hip and Knee Arthroplasty Components in the Setting of Periprosthetic Joint Infection
- Two-stage Exchange Arthroplasty: Antibiotic Spacers
- Reimplantation Following Two-stage Exchange Arthroplasty for Prosthetic Joint Infection
- Suppressive Antimicrobial Therapy and Prosthetic Joint Infection
- Prognostic Classification for Periprosthetic Joint Infection
- Periprosthetic Joint Infection and Mortality
- Current Limitations, Evolving Technologies and Future Directions in the Management of Periprosthetic Joint Infection
Index
