Survey of shoulder arthroplasty surgeons' methods for infection avoidance of <i>Propionibacterium</i>.

Parada, Stephen A; Shaw, K Aaron; Eichinger, Josef K; Stadecker, Monica J; Higgins, Laurence D; Warner, Jon J P · J Orthop · 2018

cross_sectional · Level IV

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Abstract

<i>Propionibacterium acnes</i> infection after shoulder arthroplasty remains a source of morbidity. Determining practices amongst shoulder surgeons is the first step in developing infection-prevention best-practices. A survey was sent to a shoulder fellowship alumni group to determine their arthroplasty infection prevention methods. 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. There are no clear standards for prevention of <i>Propionibacterium acnes</i> infections in shoulder arthroplasty. There is a general non-scientific approach to the prevention of shoulder arthroplasty infection.

Anatomy