Case of the Month - February 2022
Your answer: Yes

Your answer: Yes

You are incorrect

❌ Yes (Provide antibiotic prophylaxis)

✅ No (Antibiotic prophylaxis is not indicated)

  • Current evidence suggests no rationale to administer antibiotic prophylaxis before an invasive dental procedure in patients with prosthetic joints.
  • Did you know that a recent cohort study involving 9427 patient admissions for late prosthetic joint infections found no temporal association between invasive dental procedure and prosthetic joint infection?
  • Administering antibiotic prophylaxis inappropriately increases risk of adverse drug reactions and promotes antibiotic resistance.
  • The Canadian Orthopedic Association (COA), Canadian Dental Association (CDA), and the Association of Medical Microbiology and Infectious Disease (AMMI) Canada recommend against providing routine antibiotic prophylaxis for dental patients with total joint replacements, nor for orthopedic patients with pins, plates, and screws.

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