Is there a role for postoperative antibiotic treatment when a revision arthroplasty is performed with subsequent unexpected positive cultures of the shoulder caused by an indolent organism (e.g., C. acnes or coagulase-negative Staphylococcus(CNS))?

Is there a role for postoperative antibiotic treatment when a revision arthroplasty is performed with subsequent unexpected positive cultures of the shoulder caused by an indolent organism (e.g., C. acnes or coagulase-negative Staphylococcus(CNS))?

Author: Edward Yian
RECOMMENDATION: Postoperative antibiotic treatment beyond 24 hours after revision arthroplasty with unexpected positive cultures for an indolent organism does not appear to reduce the risk of subsequent infection.
LEVEL OF EVIDENCE: Limited
DELEGATE VOTE: Agree: 84%, Disagree: 4%, Abstain: 12% (Super Majority, Strong Consensus)

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