What are the current recommendations regarding antibiotic prophylaxis and artificial joints?
In patients with artificial joints, treatment of infections is recommended with systemic antibiotics (amoxicillin/clavulanate 1 g or – in patients with known allergy to penicillin – clindamycin 600 mg three times per day for 3 to 5 days; then evaluation of the disease course and decision to stop or continue treatment).
Do you need antibiotic prophylaxis after knee replacement?
ALL patients who have undergone total joint replacement surgery should receive antibiotic prophylaxis* prior to any dental procedures and additional procedures as outlined below for 2 years after your surgery.
Should antibiotic prophylaxis be given to a patient with a prosthetic joint before dental procedures?
In patients with prosthetic joint implants, a January 2015 ADA clinical practice guideline, based on a 2014 systematic review states, “In general, for patients with prosthetic joint implants, prophylactic antibiotics are not recommended prior to dental procedures to prevent prosthetic joint infection.”
What antibiotics are given after knee replacement?
For most patients, current guidelines recommend cefazolin or cefuroxime administered IV within 60 minutes of skin incision as prophylaxis during hip or knee arthroplasty.
What antibiotics and doses are used for patients who require antibiotic prophylaxis?
Endocarditis Prophylactic Regimens for Dental, Oral, Respiratory Tract and Esophageal Procedures
| Situation | Agent | Regimen* |
|---|---|---|
| Patient is allergic to penicillin and is unable to take oral medication | Clindamycin | Adults: 600 mg |
| Children: 20 mg per kg | ||
| Given IV within 30 minutes before the procedure | ||
| or |
What is prophylactic use of antibiotics?
Antibiotics to prevent infection. Antibiotics are sometimes given as a precaution to prevent, rather than treat, an infection. This is called antibiotic prophylaxis.
What antibiotics can you take before dental work?
When antibiotics are recommended, doctors will typically prescribe oral amoxicillin to be taken one hour before the dental work. If you cannot tolerate oral antibiotics, your doctor may recommend cefazolin or ampicillin which are injected within an hour of the procedure.
Do you need antibiotic prophylaxis prior to dental work?
If you have had a joint replacement and taken antibiotics before dental work in the past, you may not need to make a trip to the pharmacy before your next procedure. The American Dental Association has found it is no longer necessary for most dental patients with orthopedic implants to have antibiotic prophylaxis to prevent infection.
Are prophylactic antibiotics necessary for otologic surgery?
Prophylactic antibiotics were most commonly used in otologic surgery involving cochlear implantation or in the setting of draining ears or cholesteatoma and in clean-contaminated head and neck surgery cases.
Prophylactic antibiotics are antibiotic medications provided to a patient with the goal of preventing an infection. Antibiotic prophylaxis is usually used in connection with a medical procedure where there is a risk of infection, either because of the nature of the procedure or as a result of an underlying medical condition.