Does liver disease (hepatitis C, cirrhosis, etc.) predispose patients to surgical site infection/periprosthetic joint infection (SSI/PJI)? If so, what optimization should be undertaken prior to operating on patients with liver disease?

Authors: Chi Xu, Yuhan Chang, Wadih Y. Matar, Daniel Varin, Jui Ping Chen

RECOMMENDATION: Yes. Patients with liver disease such as hepatitis or cirrhosis have a higher risk of infection. These patients are at increased risk of intraoperative and postoperative bleeding. All efforts should be made to ensure such complications are minimized.

LEVEL OF EVIDENCE: Strong

DELEGATE VOTE: Agree: 98%, Disagree: 1%, Abstain: 1% (Unanimous, Strongest Consensus)

RATIONALE:

G17