The need for guidelines in asplenic patients undergoing total joint arthroplasty: a case report.

Autor: Shaarani SR; Department of Orthopaedic Surgery, Sports Surgery Clinic, Santry Demesne, Dublin 9, Ireland., Collins D, O'Byrne JM
Jazyk: angličtina
Zdroj: Case reports in orthopedics [Case Rep Orthop] 2012; Vol. 2012, pp. 147042. Date of Electronic Publication: 2012 Mar 26.
DOI: 10.1155/2012/147042
Abstrakt: There are currently no guidelines for splenectomy patient undergoing total joint arthroplasty. We present a case history of a 63-year-old man with a history of splenectomy that underwent a total knee arthroplasty with standard intravenous antibiotic prophylaxis. Two weeks postoperatively, he developed a prosthetic joint infection and followed the standard antimicrobial management with intravenous and oral antibiotics prior to having revision surgery. We propose that there are guidelines to properly manage these patients in the pre- and perioperative setting following an orthopaedic procedure.
Databáze: MEDLINE