Stephen A Parada1, K Aaron Shaw1, Josef K Eichinger2, Monica J Stadecker3, Laurence D Higgins4, Jon J P Warner5. 1. Orthopaedic Surgery, Eisenhower Army Medical Center, Ft Gordon, GA, United States. 2. Medical University of South Carolina, Charleston, SC, United States. 3. Tufts Medical School, Boston, MA, United States. 4. Boston Shoulder Institute, Brigham and Women's Hospital, Boston, MA, United States. 5. Boston Shoulder Institute, Massachusetts General Hospital, Boston, MA, United States.
Abstract
INTRODUCTION: Propionibacterium acnes infection after shoulder arthroplasty remains a source of morbidity. Determining practices amongst shoulder surgeons is the first step in developing infection-prevention best-practices. METHODS: A survey was sent to a shoulder fellowship alumni group to determine their arthroplasty infection prevention methods. RESULTS: 74% completed the survey. Cefazolin (90%), vancomycin (50%) and clindamycin (18%) were the most commonly used antibiotics, 61% utilized more than one antibiotic. Most (76%) reported using an experience-based protocol learned during residency/fellowship. DISCUSSION AND CONCLUSION: There are no clear standards for prevention of Propionibacterium acnes infections in shoulder arthroplasty. There is a general non-scientific approach to the prevention of shoulder arthroplasty infection.
INTRODUCTION: Propionibacterium acnes infection after shoulder arthroplasty remains a source of morbidity. Determining practices amongst shoulder surgeons is the first step in developing infection-prevention best-practices. METHODS: A survey was sent to a shoulder fellowship alumni group to determine their arthroplasty infection prevention methods. RESULTS: 74% completed the survey. Cefazolin (90%), vancomycin (50%) and clindamycin (18%) were the most commonly used antibiotics, 61% utilized more than one antibiotic. Most (76%) reported using an experience-based protocol learned during residency/fellowship. DISCUSSION AND CONCLUSION: There are no clear standards for prevention of Propionibacterium acnes infections in shoulder arthroplasty. There is a general non-scientific approach to the prevention of shoulder arthroplasty infection.
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