Antibiotic Prophylaxis for Prevention of Prosthetic Joint Infection

Publication Date: January 1, 2015
Last Updated: March 14, 2022

Recommendation

In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection.
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Recommendation Grading

Overview

Title

Antibiotic Prophylaxis for Prevention of Prosthetic Joint Infection

Authoring Organizations

Publication Month/Year

January 1, 2015

Last Updated Month/Year

June 27, 2023

Supplemental Implementation Tools

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

A panel of experts (the 2014 Panel) convened by the American Dental Association Council on Scientific Affairs developed an evidence-based clinical practice guideline (CPG) on the use of prophylactic antibiotics in patients with prosthetic joints who are undergoing dental procedures. This CPG is intended to clarify the “Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures: Evidence-based Guideline and Evidence Report,” which was developed and published by the American Academy of Orthopaedic Surgeons and the American Dental Association (the 2012 Panel).

Target Patient Population

Patients with prosthetic joints who are undergoing dental procedures

Inclusion Criteria

Adolescent, Adult, Older adult

Health Care Settings

Ambulatory

Intended Users

Dentist, nurse, nurse practitioner, physician, physician assistant

Scope

Assessment and screening, Prevention, Management

Diseases/Conditions (MeSH)

D019072 - Antibiotic Prophylaxis, D011315 - Preventive Medicine, D001424 - Bacterial Infections, D007595 - Joint Prosthesis

Keywords

prosthetic joint infection, Antibiotic prophylaxis, periprosthestic joint infection (PJI)

Supplemental Methodology Resources

Methodology Supplement