title: Update on Antibiotic Prophylaxis for Genitourinary Procedures in Patients with Artificial Joint Replacement and Artificial Heart Valves.
abstract: Infection of artificial joint replacements and heart valves is an uncommon but serious complication encountered anytime after the implantation of these prostheses. It is known that bacteremia can lead to infection of a prosthetic device. However, there is no strong evidence to correlate urologic procedures with the development of periprosthetic joint infection or prosthetic valve endocarditis. Therefore, antibiotic prophylaxis for the prevention of endocarditis is not recommended in patients undergoing urologic procedures. However, guidelines regarding prophylaxis to prevent infection of an artificial joint in the setting of a genitourinary procedure are more varied.
authors.affiliation: Department of Urology, Feinberg School of Medicine, Northwestern University, 303 East Chicago Avenue, Tarry 16-703, Chicago, IL 60611, USA. Electronic address: d-mazur@md.northwestern.edu.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Mazur
authors.affiliation: Department of Orthopedic Surgery, Feinberg School of Medicine, Northwestern University, 676 North Saint Clair, Suite 1350, Chicago, IL 60611, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Fuchs
authors.affiliation: Department of Surgery-Cardiac Surgery, Feinberg School of Medicine, Northwestern University, 251 East Huron, Galter 3-150, Chicago, IL 60611, USA.
authors.forename: Travis O
authors.initials: TO
authors.lastname: Abicht
authors.affiliation: Department of Orthopedic Surgery, Feinberg School of Medicine, Northwestern University, 676 North Saint Clair, Suite 1350, Chicago, IL 60611, USA.
authors.forename: Terrance D
authors.initials: TD
authors.lastname: Peabody
mesh_terms: D019072:Antibiotic Prophylaxis; D016470:Bacteremia / Q000517:prevention & control*; D004697:Endocarditis, Bacterial / Q000517:prevention & control*; D006350:Heart Valve Prosthesis; D006801:Humans; D007595:Joint Prosthesis; D017410:Practice Guidelines as Topic; D016459:Prosthesis-Related Infections / Q000517:prevention & control*; D013519:Urogenital Surgical Procedures / Q000009:adverse effects*
keywords: Antibiotic prophylaxis; Arthroplasty; Bacteremia; Endocarditis; Urologic surgical procedures