What is the treatment (if any) for unexpected positive cultures (UPC) in revision shoulder arthroplasty without clinical or radiographic signs of infection?

What is the treatment (if any) for unexpected positive cultures (UPC) in revision shoulder arthroplasty without clinical or radiographic signs of infection?

Authors: Grant E. Garrigues, Carlos Torrens, Jaap Willems, Kevin C. Wall, Leila Ledbetter
RECOMMENDATION: Unknown. Few publications offer protocols for addressing unexpected positive cultures. Of these, the most common options include antibiotics, re-operation and withholding any treatment. The lack of comparative data on outcomes of these therapy regimens makes it difficult to conclusively determine optimal management.
LEVEL OF EVIDENCE: Limited
DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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