{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T01:47:04Z","timestamp":1784339224799,"version":"3.55.0"},"reference-count":19,"publisher":"SLACK, Inc.","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:p>\n            This article describes a case of an infected total hip arthroplasty following a dental procedure. A 59-year-old man underwent total hip arthroplasty for osteoarthritis and had a routine recovery. Approximately 9 months postoperatively, he underwent a dental cleaning without antibiotic prophylaxis. One month later, he reported gradually worsening right hip pain and a purulent discharge. After several unsuccessful interventions, the patient was referred to the authors\u2019 facility. The patient\u2019s history, draining sinus tract, and radiographic changes were considered diagnostic of a late chronic infection, and the patient underwent 2-stage revision. Intraoperatively, the sinus tract extended directly to the acetabular component.\n            <jats:italic>Actinomyces<\/jats:italic>\n            spp were isolated from 3 of 7 intraoperative anaerobic cultures, and the patient received penicillin G for 8 weeks. Two weeks after discontinuing antibiotics, with no clinical manifestation of recurrent infection and a negative hip aspiration, a new hip prosthesis was implanted. The patient was prescribed penicillin for 12 months postoperatively. Harris Hip Score was 100 at 52-month follow-up.\n          <\/jats:p>\n          <jats:p>The American Dental Association and the American Academy of Orthopaedic Surgeons issued consensus guidelines for chemoprophylaxis in orthopedic patients undergoing dental procedures in 1997 and 2003. Although the American Academy of Orthopaedic Surgeons issued a revised guideline in 2009 recommending more robust antibiotic prophylaxis, significant controversy exists because at least one professional organization representing dentists has repudiated the 2009 American Academy of Orthopaedic Surgeons guideline. The authors describe the implications from their experience and similar cases in the literature with regard to such guidelines.<\/jats:p>","DOI":"10.3928\/01477447-20120621-27","type":"journal-article","created":{"date-parts":[[2012,7,11]],"date-time":"2012-07-11T18:42:27Z","timestamp":1342032147000},"source":"Crossref","is-referenced-by-count":15,"title":["Hematogenous Infection of Total Hip Arthroplasty With\n            <i>Actinomyces<\/i>\n            Following a Noninvasive Dental Procedure"],"prefix":"10.3928","volume":"35","author":[{"given":"Matthew L.","family":"Brown","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Drinkwater","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"issue":"298","key":"e_1_3_2_2_2","first-page":"106","article-title":"Implant failure and the immuno-incompetent fibro-inflammatory zone","author":"Gristina AG","year":"1994","unstructured":"Gristina AG. Implant failure and the immuno-incompetent fibro-inflammatory zone. Clin Orthop Relat Res. 1994; (298):106\u2013118.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1997.0307"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2003.0289"},{"issue":"229","key":"e_1_3_2_5_2","first-page":"131","article-title":"Late infections of total joint prostheses. A review and recommendations for prevention","author":"Maderazo EG","year":"1988","unstructured":"Maderazo EG, Judson S, Pasternak H. Late infections of total joint prostheses. A review and recommendations for prevention. Clin Orthop Relat Res. 1988; (229):131\u2013142.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_2_6_2","first-page":"2924","volume-title":"Principles and Practice of Infectious Diseases","author":"Russo T","year":"2006","unstructured":"Russo T. Agents of actinomycosis. In: , Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 6th ed. Berlin, Germany: Springer; 2006:2924\u20132931.","edition":"6"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.40.11.4391-4392.2002"},{"issue":"210","key":"e_1_3_2_8_2","first-page":"128","article-title":"Infected total hip arthroplasty due to Actinomyces israelii after dental extraction. A case report","author":"Strazzeri JC","year":"1986","unstructured":"Strazzeri JC, Anzel S. Infected total hip arthroplasty due to Actinomyces israelii after dental extraction. A case report. Clin Orthop Relat Res. 1986; (210):128\u2013131.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/00365540151060987"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.3109\/inf.1978.10.issue-4.10"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.38.2.929-930.2000"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02121181"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01249-09"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.4297\/najms.2011.3247"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s100960100607"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2006.02158.x"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.758524"},{"key":"e_1_3_2_18_2","unstructured":"American Academy of Orthopedic Surgeons. Information statement 1033: antibiotic prophylaxis for bacteremia in patients with joint replacements. http:\/\/www.aaos.org\/about\/papers\/advistmt\/1033.asp. Updated June 2010. Accessed June 8 2012."},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2010.03.027"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2010.0255"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20120621-27","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T12:24:22Z","timestamp":1683116662000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20120621-27"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.3928\/01477447-20120621-27"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20120621-27","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,7]]}}}