Does the presence of anxiety/depression and mood disorders increase the risk of surgical site infections/periprosthetic joint infections (SSIs/PJIs)? If so, what are the considerations that should be implemented to reduce the risk of SSIs/PJIs?

Authors: Alexander Rondon, Samuel Wellman, Camila Novaes de Santana

RECOMMENDATION: There is emerging evidence to suggest that affective disorders, such as depression and anxiety, increase the risk for PJIs. Although both physiological and psychological explanations for this association have been offered, it is not clear whether modulating or treating these disorders prior to surgery results in a reduction in the risk of PJIs.

LEVEL OF EVIDENCE: Strong

DELEGATE VOTE: Agree: 88%, Disagree: 4%, Abstain: 8% (Super Majority, Strong Consensus)

RATIONALE:

G19