Does identification of the pathogen prior to performing debridement, antibiotics and implant retention (DAIR) help guide the surgeon’s decision making? If so, should you wait, in a clinically stable patient, until the pathogen has been identified?

Does identification of the pathogen prior to performing debridement, antibiotics and implant retention (DAIR) help guide the surgeon’s decision making? If so, should you wait, in a clinically stable patient, until the pathogen has been identified?

Authors: Jaime Lora-Tamayo, Benjamin Zmistowski, Mikel Mancheno-Losa

RECOMMENDATION: The identification of the responsible microorganism before DAIR is desirable. However, it should not prevent timely surgical intervention if delay in surgery is believed to promote further establishment of biofilm formation and compromise the outcome of surgical intervention.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 94%, Disagree: 4%, Abstain: 2% (Super Majority, Strong Consensus)

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