Drugs & Aging

, Volume 28, Issue 1, pp 13–26

Prevention and Management of Prosthetic Joint Infection in Older Adults

Review Article

DOI: 10.2165/11586530-000000000-00000

Cite this article as:
Shuman, E.K. & Malani, P.N. Drugs Aging (2011) 28: 13. doi:10.2165/11586530-000000000-00000


Total joint arthroplasty (TJA) is commonly performed on older adults. Prosthetic joint infection (PJI) is a serious complication of TJA that can significantly impact quality of life and physical function. In this review, we discuss the epidemiology and risk factors for PJIs among older adults. We also offer an overview of current diagnostic, treatment and management strategies for PJI. Given the serious nature of PJI, prevention efforts remain essential. Several approaches to infection prevention exist, including antimicrobial prophylaxis and decolonization. Although there are standardized recommendations for antimicrobial prophylaxis, the specific regimens must be individualized based on the patient’s drug allergies, potential for drug interactions, renal function and bodyweight. The best approach to preoperative screening and decolonization programmes remains unclear. Each of these issues is reviewed in detail with a focus on adverse effects and current debates regarding best practice. Given the increased numbers of TJAs performed, additional research on prevention and management is critical.

Copyright information

© Adis Data Information BV 2011

Authors and Affiliations

  1. 1.Division of Infectious Diseases, Department of Internal MedicineUniversity of MichiganAnn ArborUSA
  2. 2.Division of Geriatric Medicine, Department of Internal MedicineUniversity of MichiganAnn ArborUSA
  3. 3.Veterans Affairs Ann Arbor Healthcare SystemGeriatric Research Education and Clinical Center (GRECC)Ann ArborUSA
  4. 4.VA Healthcare SystemAnn ArborUSA

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