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Prosthetic Joint Infections in Elderly Patients

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Infectious Disease in the Aging

Part of the book series: Infectious Disease ((ID))

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Abstract

Although prosthetic joint infections (PJIs) occur in a small proportion of patients following total joint arthroplasty, they have catastrophic consequences on morbidity and joint function and carry a high economic burden in the elderly patients.

Clinical presentation of prosthetic joint infection is highly variable, and differentiating a painful joint arthroplasty secondary to mechanical loosening from an indolent infection can be difficult.

There is no “gold standard” for diagnosis of a prosthetic joint infection. The diagnosis may be challenging, and current definitions used by clinicians are derived from multiple sources of information.

The management of prosthetic joint infection is complex. The goals of therapy are to cure or control the infection, prevent its recurrence, improve or preserve functional status and reduce the risk of death.

Multiple surgeries and prolonged course of antimicrobial therapy may be needed to accomplish these treatment goals. Close collaboration between the orthopedic surgeon and the Infectious Diseases specialist is essential for achieving those goals.

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  1. Mayo Clinic, 1216 Second Street, S.W. Marian Hall 5-518, Rochester, MN, 55902, USA

    Camelia E Marculescu, Elie F. Berbari & Douglas R. Osmon

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  1. Camelia E Marculescu
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  2. Elie F. Berbari
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  3. Douglas R. Osmon
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    © 2009 Humana Press, a part of Springer Science+Business Media, LLC

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    Marculescu, C.E., Berbari, E.F., Osmon, D.R. (2009). Prosthetic Joint Infections in Elderly Patients. In: Norman, D., Yoshikawa, T. (eds) Infectious Disease in the Aging. Infectious Disease. Humana Press. https://doi.org/10.1007/978-1-60327-534-7_20

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    • DOI: https://doi.org/10.1007/978-1-60327-534-7_20

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