Is routine urinary screening indicated prior to elective total joint arthroplasty (TJA)? If so, how should asymptomatic bacteriuria be treated prior to undergoing elective joint arthroplasty?

Authors: Ricardo Sousa, Young-Kyun Lee

RECOMMENDATION: No. Routine urinary screening in asymptomatic patients is not recommended prior to elective TJA. There is also no evidence to demonstrate that preoperative treatment of asymptomatic bacteriuria is of any benefit.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 89%, Disagree: 9%, Abstain: 2% (Super Majority, Strong Consensus)

RATIONALE:
G5