Abstract
The benefit of suppressive antibiotic treatment in inoperable patients with a chronic periprosthetic joint infection and a sinus tract is unknown. Some physicians prefer to just let the sinus drain, while others prefer antibiotic treatment. In this viewpoint article we discuss the advantages and disadvantages of suppressive antibiotic treatment in this particular patient group.
Highlights
Do you prescribe SAT1 to patients with a prosthetic joint infections (PJIs) and a sinus tract when the patient is inoperable?
When the sinus tract remains open during suppressive antibiotic treatment (SAT), what do you do? Maintain the same SAT Broaden the SAT Stop the SAT Obtain new cultures Not applicable3
In a short explorative questionnaire sent to orthopedic surgeons, infectious disease specialists, and medical microbiologists involved in the treatment of PJI, they were asked whether and/or how they manage PJI patients with sinus tracts not eligible for curative surgery, regardless of the reason
Summary
Do you prescribe SAT1 to patients with a PJI and a sinus tract when the patient is inoperable?. This may be achieved by prescribing lifelong suppressive antibiotic treatment (SAT). The efficacy of SAT reported in the literature differs, ranging from 50 to 72 % (Segreti et al, 1998; Rao et al, 2003; Wouthuyzen-Bakker et al, 2016).
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