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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3167153 | PMC |
| http://dx.doi.org/10.2344/0003-3006-58.3.111 | DOI Listing |
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Successful prophylactic measures for the eradication of Staphylococcus aureus infections in elective hip primary and revision arthroplasty.
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Department of Orthopaedics and Trauma Surgery, Hospital Clínic of Barcelona, University of Barcelona, Barcelona, España. Electronic address:
Introduction: Staphylococcus aureus stands as the predominant etiological agent in postoperative acute prosthetic joint infections (PJI), contributing to 35-50% of reported cases. This study aimed to evaluate the efficacy of dual prophylaxis incorporating cefuroxime and teicoplanin, in combination with nasal decolonization utilizing 70% alcohol, and oral and body lavage with chlorhexidine.
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Article Synopsis
- * The review emphasizes that patients on antiplatelet therapy (like ASA and clopidogrel) don't need to stop their medication before surgery, while those on warfarin should receive vitamin K for reversal to facilitate timely surgery.
- * Direct oral anticoagulants should be paused 24-48 hours pre-surgery, with possible use of antidotes in critical cases, and neuraxial anesthesia can be safely used under certain conditions regarding anticoagulant status.
EEG bispectral index sensor guidance improves accuracy and safety of procedural sedation.
Clin Radiol
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