When a patient undergoes aseptic revision and intraoperative culture(s) grow an organism, should patients be treated with antibiotic therapy?

Authors: Carlos A. Higuera, Barry Brause, Charles Vogely
RECOMMENDATION: Antibiotic therapies are recommended if two or more cultures isolate the same organism, as per the MusculoSkeletal Infection Society (MSIS) and the International Consensus Group (ICG) criteria for prosthetic joint infections (PJIs). Antibiotic therapies may not be required when a single intraoperative culture isolates an organism. However, there may be circumstances when a single positive culture, combined with other tests, may indicate the presence of an infection and treatment would be indicated.
LEVEL OF EVIDENCE: Limited
DELEGATE VOTE: Agree: 90%, Disagree: 8%, Abstain: 2% (Super Majority, Strong Consensus)

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