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Posted on October 15, 2018 by sabine - Uncategorized

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INFECTION PREVENTION & MANAGEMENT
FIXATION OPTIMIZATION
PATIENT INVOLVEMENT
NEW FRONTIERS
ECONOMIC CONSIDERATIONS
EDITORIAL BOARD

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Antibiotic Loaded Bone Cement
How often do you currently use antibiotic-loaded bone cement in primary TKA?
- Routinely, in over 75% of patients
- Commonly, in 25 – 75% of patients
- Rarely, often in high-risk patients only
- Never
If you performed cemented hip arthroplasty / hemiarthroplasty, how often do you use antibiotic-loaded bone cement?
- Routinely, in over 75% of patients
- Commonly, in 25 – 75% of patients
- Rarely, often in high-risk patients only
- Never
- I do not utilize cement in hip replacement surgery
How often do you currently use antibiotic-loaded bone cement in aseptic cemented revision surgery?
- Routinely, in over 75% of patients
- Commonly, in 25 – 75% of patients
- Rarely, often in high-risk patients only
- Never
Do antibiotic elution kinetics factor in to your selection of a bone cement?
- Yes
- No
What antimicrobial or antimicrobial combination would you most like to see in a commercially available antibiotic loaded bone cement? (select all that apply)
- Daptomycin
- Gent/Tobra + Vancomycin
- Gent/Tobra + Clindamycin
- Gent/Tobra + Amphotericin B
- Other (please write out)
Other
Who do you think won the debate?
- PRO - Should be used in more than 30% of patients (Mike Reed)
- CON - Should be used in less than 30% of patients (Antonia Chen)
Will you change your practice because of this debate?
- Yes
- No
Do you have any questions on this topic that you’d like to submit?
If you would like an answer to your question please provide your contact information
Name
First Last
Email

How often do you currently use an antiseptic solution during primary total joint arthroplasty?
- Routinely in all patients
- In high-risk patients only
- On rare occasions
- Never
What antiseptic solution do you use most often?
- Betadine (povidone-iodine) from a sealed, sterile pack
- Betadine (povidone-iodine) from a bottle
- Diluted Chlorhexidine (Irrisept)
- Proprietary formulation (Bactisure, Prontosan)
- Dakin’s Solution
- Other (Please write out)
Other
What volume of fluid do you use for lavage?
- Less than 1 L
- 1 – 2 L
- 2 – 4 L
- More than 4 L of fluid
Do you use locally delivered antibiotics during primary surgery? (select all that apply)
- Yes, I add antibiotics (polymyxin, bacitracin) to the intraoperative irrigation
- Yes, I do administer topical vancomycin powder routinely
- Yes, I do administer topical vancomycin powder, but in high-risk patients only
- No, I do not use locally delivered antibiotics routinely during primary surgery
Who do you think won the debate?
- PRO - Antiseptic solutions should be used in all patients (Thorsten Seyler)
- CON - Antiseptic solutions should be used in high-risk patients only (Daniel Kendoff)
Will you change your practice because of this debate?
- Yes
- No
Do you have any questions on this topic that you’d like to submit?
If you would like an answer to your question please provide your contact information
Name
First Last
Email

Admixing Antibiotics
For primary joint replacement procedures, do you currently manually mix-in antibiotics into bone cement?
- Yes, routinely
- Yes, occasionally (e.g. adding vancomycin when a patient is an MRSA carrier)
- Yes, but on rare occasions
- Never
If you have been manually mixing tobramycin into bone cement, how are you dealing with the shortage across the United States?
- I have started using commercial antibiotic loaded bone cement
- I have started mixing in another antibiotic into bone cement
- I have began using topic vancomycin powder
- I have utilized another strategy not listed here
- Not applicable – I am not affected by the shortage or don’t routinely manually mix in antibiotics
Were you aware that liquid antibiotics could not be mixed into bone cement?
- Yes
- No
Were you aware that orthopedics surgeon assume product liability when antibiotics are manually mixed into bone cement?
- Yes
- No
Who do you think won the debate?
- PRO – Mixing antibiotics into cement is cost-saving and effective (Derek Amanatullah)
- CON – The risks of manually mixing antibiotics into cement outweigh the possible benefits (Jason Webb)
Will you change your practice because of this debate?
- Yes
- No
Do you have any questions on this topic that you’d like to submit?
If you would like an answer to your question please provide your contact information
Name
First Last
Email

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