RT Journal
A1 Meehan, John
A1 Jamali, Amir A.
A1 Nguyen, Hien
T1 Prophylactic Antibiotics in Hip and Knee Arthroplasty
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2009
FD October 1
VO 91
IS 10
SP 2480
OP 2490
DO 10.2106/JBJS.H.01219
UL http://dx.doi.org/10.2106/JBJS.H.01219
AB Prophylactic parenteral antibiotics have contributed to the present low rate of surgical site infections following hip and knee arthroplasty.Over the past decade, there has been a change in the pattern of methicillin-resistant Staphylococcus aureus infections from hospital-acquired to community-acquired.The findings of recent studies on screening programs to identify carriers of methicillin-resistant Staphylococcus aureus have been equivocal, with some studies showing that such programs reduce the rate of infections and others showing no effect on infection rates.Hospitals with antibiogram data that reveal high Staphylococcus resistance should consider use of vancomycin as a prophylactic antibiotic.