What is the role of topical intrawound antiseptics (dilute betadine lavage, acetic acid or antibiotics added to the irrigation solution) and antibiotic powder (such as vancomycin) during primary or revision shoulder arthroplasty?

What is the role of topical intrawound antiseptics (dilute betadine lavage, acetic acid or antibiotics added to the irrigation solution) and antibiotic powder (such as vancomycin) during primary or revision shoulder arthroplasty?

Authors: Edward Yian, Surena Namdari
RECOMMENDATION: Dilute povidone-iodine and/or vancomycin powder may have a role in patients considered at high-risk for periprosthetic joint infection (PJI) after primary or revision shoulder arthroplasty based on data extrapolated from other orthopaedic specialties.
LEVEL OF EVIDENCE: Limited
DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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