Is there a role for antibiotic therapy in the management of acute shoulder periprosthetic joint infection (PJI) with an indolent organism (e.g., C. acnes or Coagulase Negative Staphylococcus) after irrigation and debridement (I&D)?

Is there a role for antibiotic therapy in the management of acute shoulder periprosthetic joint infection (PJI) with an indolent organism (e.g., C. acnes or Coagulase Negative Staphylococcus) after irrigation and debridement (I&D)?

Authors: John Itamura, William Levine, Sandra Bliss Nelson, Iván Encalada, John Itamura
RECOMMENDATION: Antibiotic therapy following I&D for management of acute shoulder PJI with an indolent organism has not been wellstudied in the literature. The limited data available suggests treatment should consist of antibiotic therapy; however, the optimal antibiotic, route of administration and duration of treatment are unknown.
LEVEL OF EVIDENCE: Consensus
DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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