Update to “Antibiotic Prophylaxis: A Literature Review”
In a letter to the Compendium editor dated March 1, 2013, from Eric T. Stoopler, DMD, FDS RCSEd, Associate Professor of Oral Medicine, Director, Postdoctoral Oral Medicine Program, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, and Thomas P. Sollecito, DMD, FDS RCSEd, Professor and Chairman of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, it was brought to our attention that an update should be noted regarding an article published online by Compendium. The article, “Antibiotic Prophylaxis: A Literature Review,” pp e33-e37, was part of the Compendium March Online Only issue.
Per Drs. Stoopler and Sollecito, while the article provides valuable information to oral healthcare providers (OHCPs) about antibiotic prophylaxis with significant clinical implications, it is imperative for OHCPs to be aware of new guidelines concerning antibiotic prophylaxis for patients with orthopaedic implants undergoing dental procedures. These guidelines were issued jointly from the American Dental Association (ADA) and the American Academy of Orthopaedic Surgeons (AAOS) in 2012,1 after the Compendium article had been scheduled for publication. These are the first jointly endorsed guidelines from the ADA and AAOS regarding orthopaedic implant prophylaxis for patients undergoing dental procedures since 2003.2 Three major recommendations have been issued in the 2012 guidelines, and OHCPs must be familiar with these in order to provide the most current evidence-based information to their patients (see Table). It is also important for OHCPs to understand that the 2012 guidelines regarding this matter supercede all previous guidelines issued by these organizations.
1. American Academy of Orthopaedic Surgeons; American Dental Association. Prevention of orthopaedic implant infection in patients undergoing dental procedures: evidence-based guideline and evidence report. 1st ed. American Academy of Orthopaedic Surgeons; Rosemont, IL: 2012. http://www.aaos.org/research/guidelines/PUDP/PUDP_guideline.pdf. Accessed March 15, 2013.
2. American Dental Association; American Academy of Orthopedic Surgeons. Antibiotic prophylaxis for dental patients with total joint replacements. J Am Dent Assoc. 2003;134(7):895-899.