The origin of prosthetic joint infections has been a controversial topic for dentists, physicians and patients. Confusion surrounds the risk of dental procedure-related bacteremia and the subsequent risk of patients with orthopaedic devices developing prosthetic joint infection following such bacteremia.
The Canadian Orthopedic Association (COA), the Canadian Dental Association (CDA) and the Association of Medical Microbiology and Infectious Disease (AMMI) Canada have reviewed the current best available evidence on the effectiveness of dental antibiotic prophylaxis in the reduction of orthopaedic prosthetic joint infections, in the context of the issue of emerging antimicrobial resistance and the critical role of all health care providers to steward appropriate use of antimicrobial drugs.
The Statement can be viewed here. Special thanks to Drs. Tracy Wilson and Jeff Gollish along with the members of the COA National Standards Committee for their excellent work on this important document. The COA Board of Directors approved this Statement at the June 2016 Board meeting.