Sepsis and Total Joint Arthroplasty

Abstract

The number of annual total joint arthroplasties (TJA) is increasing. Periprosthetic joint infections (PJI) occur when there is infection involving the prosthesis and surrounding tissue, which has the potential to develop into sepsis if left untreated. Sepsis in patients who have undergone TJA is life threatening and requires urgent treatment. If sepsis is due to PJI, the focus should be on early intravenous antibiotics with aspiration as soon as possible to diagnose the infection. Patients who develop sepsis after surgery for PJI are particularly at high risk for mortality and need to be treated in the intensive care unit.

Keywords: Bacteremia; Periprosthetic joint infection (PJI); Quick Sequential Organ Failure Assessment score (qSOFA) score; SIRS criteria; Sepsis; Sepsis treatment; Severe sepsis; Total joint arthroplasty (TJA).