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Infection and Perioperative Orthopedic Care

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Perioperative Care of the Orthopedic Patient

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Abstract

The detection and treatment of infection are integral to orthopedic surgical and perioperative practice. Prevention, prompt diagnosis, and appropriate therapy are vital considerations. Risk factors for infection, some of which are modifiable, can be identified. Antimicrobial prophylaxis is of known benefit in spine and arthroplasty procedures and is commonplace in arthroscopy. Fever following orthopedic surgery is rarely from an infection and within the first 72 h most patients do not benefit from a fever workup. The management of the infected patient is rarely routine as patients present with varied symptoms, the microbiology is diverse and standard protocols for orthopedic infections need to be kept flexible. Empiric antibiotics without deep cultures are rarely indicated and early involvement of experienced personnel can optimize care of patients so afflicted.

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Authors and Affiliations

  1. Division of Infectious Diseases, Department of Medicine, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA

    Andy O. Miller M.D.

  2. Division of Infectious Diseases, Department of Medicine, Hospital for Special Surgery, New York, NY, USA

    Barry D. Brause M.D.

Authors
  1. Andy O. Miller M.D.
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  2. Barry D. Brause M.D.
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Correspondence to Andy O. Miller M.D. .

Editor information

Editors and Affiliations

  1. Department of Medicine, Hospital for Special Surgery, New York, New York, USA

    C. Ronald MacKenzie

  2. Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA

    Charles N. Cornell

  3. Department of Anesthesiology, Hospital for Special Surgery, New York, New York, USA

    Stavros G. Memtsoudis

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Miller, A.O., Brause, B.D. (2014). Infection and Perioperative Orthopedic Care. In: MacKenzie, C., Cornell, C., Memtsoudis, S. (eds) Perioperative Care of the Orthopedic Patient. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0100-1_22

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  • DOI: https://doi.org/10.1007/978-1-4614-0100-1_22

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