Does the presence of skin lesions (i.e., boils, grazes, folliculitis, etc.), either in the proximity or distant to the surgical site, predispose patients to surgical site infections/ periprosthetic joint infections (SSIs/PJIs)? If so, is it necessary for patients with these skin lesions to undergo treatment prior to elective total joint arthroplasty (TJA)?

AUTHORS: Hao Shen, Peter Thomas, Qiaojie Wang

RECOMMENDATION: The presence of active skin infections, either in the proximity or distant to the surgical site, can potentially increase the risk of SSIs/PJIs in patients undergoing elective TJA. Therefore, surgery should be delayed until these lesions are treated and/or resolved. Placing surgical incisions through eczematous or psoriatic lesions should be avoided as well, whenever possible.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 95%, Disagree: 3%, Abstain: 2% (Unanimous, Strongest Consensus)

RATIONALE

G1