Open AccessIssues in Professional Judgment: Antibiotic Prophylaxis in Client with Prosthetic Joint
Author(s) -
Frieda Atherton Pickett
Publication year - 2012
Publication title -
world journal of dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.166
H-Index - 10
eISSN - 0976-6014
pISSN - 0976-6006
DOI - 10.5005/jp-journals-10015-1131
Subject(s) - medicine , antibiotic prophylaxis , antibiotics , intensive care medicine , professional association , clinical judgment , family medicine , public relations , medical physics , political science , microbiology and biotechnology , biology
Issues related to clinical decision-making regarding prescribing antibiotic prophylaxis prior to oral procedures for the client with a prosthetic joint are discussed. Method PubMed and relevant professional guidelines were searched for research and for evidence-based guidelines. Outcome There is a need for evidence-based guidelines developed by stakeholders including the American Academy of Orthopedic Surgeons, the American Dental Association and the Infectious Disease Society. There is an absence of level 1 evidence for or against the use of prophylactic antibiotics in patients with prosthetic joints undergoing invasive dental treatment. Therefore, until the professional organizations provide evidence-based guidance, professional judgment must depend on the client history following joint replacement and the state of the host immune response. How to cite this article Pickett FA. Issues in Professional Judgment: Antibiotic Prophylaxis in Client with Prosthetic Joint. World J Dent 2012;3(1):74-76.