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Published on: December 3, 2017
Septic Arthritis and Prosthetic Joint Infections in Older Adults
Rajeshwari Nair1, Marin L Schweizer1, Namrata Singh1
1Department of Internal Medicine, University of Iowa Carver College of Medicine, Newton Road, Iowa City, IA 52242, USA; The Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City Veterans Affairs Healthcare System, 601 Highway 6 West, Iowa City, IA 52246, USA.
Abstract:
Older adults are at increased risk for septic arthritis and prosthetic joint infections (PJI), owing at least in part to comorbid conditions and frailty. An increasing number of older adults undergo total joint arthroplasty to improve their quality of life. Infections in older adults differ from younger populations by the causative organisms, a great proportion of which are Staphylococcal infections. Targeting important modifiable and nonmodifiable risk factors may prevent or reduce the burden of joint infections in older adults. This review summarizes the epidemiology, pathogenesis, clinical manifestations, diagnosis, management, and prevention of septic arthritis and PJI in older adults.
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