As people age, their joints can become painful, sometimes severely affecting their quality of life. Joint replacements (arthroplasties) for the knee, hip, shoulder, and other joints are now common surgeries. Their successful outcomes can change lives. Show
Joint replacements are major surgeries however, with the risks that come with surgery. Infection in the surgical wound or joint itself is one of those risks. Sometimes incorrectly called blood poisoning, sepsis is the body’s life-threatening response to infection. Like strokes or heart attacks, sepsis is a medical emergency that requires rapid diagnosis and treatment. Sepsis and septic shock can result from an infection anywhere in the body, such as pneumonia, influenza, or urinary tract infections. Bacterial infections are the most common cause of sepsis. Worldwide, one-third of people who develop sepsis die. Many who do survive are left with life-changing effects, such as post-traumatic stress disorder (PTSD), chronic pain and fatigue, organ dysfunction (organs don’t work properly), and/or amputations. Surgery is performed under sterile conditions. All objects introduced or implanted in the body are sterilized to minimize the risk of infection. However, there is always a small chance that bacteria can still appear on the implant or hardware and cause a bacterial infection. And since the bacteria are inside the implant instead of exposed directly to body tissue, it can be more difficult for your immune system to detect and fight the bacteria. Why do joint replacements?Surgeons perform total and partial joint replacements to replace damaged or diseased parts of the joint. Damage may be due to a trauma (motor vehicle accidents or falls, for example), or worn down by arthritis or other joint conditions. Do joint replacements put you at risk for infection and sepsis?Most people who undergo joint replacements heal well, without any complications. However, any type of surgery does increase your risk of developing an infection, which can in turn cause sepsis. Risks include developing pneumonia following surgery or contracting a healthcare-acquired infection (HAI) during your stay in the hospital. As well, some people who undergo joint replacements may be older and/or have underlying disease conditions, such as diabetes or COPD, that may make them susceptible to infections. Infection signs and symptomsImplant and incision infections have similar signs and symptoms to other infections. They are also related to the location of the affected joint. Signs and symptoms include:
If an infection occurs within the joint, you will likely have increasing pain in the joint as well as some of the above symptoms. Infections in the incision usually occur within a few days of surgery, while the skin is healing. However, joint infections can occur days to years later. It is important to report any increase in pain in your artificial joint, especially any signs of an infection. Treating the infectionThe first step for treating an infection in an artificial joint is to administer intravenous (IV) antibiotics. Sometimes the infection is too deep to respond to antibiotics. But if the surgery was recent, your surgeon may choose to clean out the joint surgically. This procedure, called debridement, allows the surgeon to remove any contaminated tissue and thoroughly clean out the joint, but keep the initial replacement. You may need intravenous antibiotics for about six weeks after the procedure. Later infections, those that occur months or years after the implant, are more difficult to treat. Your surgeon may need to remove the implant. The joint is then thoroughly cleaned out. A temporary spacer is inserted into the joint so it can heal. Antibiotics treat the infection. Once the infection is completely gone, your surgeon removes the spacer and inserts a new artificial joint. Preventing a joint replacement infectionYou and your care team can reduce risk of infection. While arranging your surgery, speak with your surgeon about infection prevention procedures and what you can do to help reduce your risk. Your doctor may suggest:
Finally, eat a healthy diet. Malnutrition, not consuming enough nutrients for your needs, can lower your body’s ability to fight infection. If you suspect sepsis, call 9-1-1 or go to a hospital and tell your medical professional, “I AM CONCERNED ABOUT SEPSIS. Suggested Citation: Sepsis Alliance. Sepsis and Joint Replacements. 2022. https://www.sepsis.org/sepsisand/joint-replacements/Updated April 11, 2022. Can a knee replacement get infected 3 years later?Joint replacement infections may occur in the wound or deep around the artificial implants. An infection may develop during your hospital stay or after you go home. Joint replacement infections can even occur years after your surgery.
How do I know if my total knee replacement is infected?What Are the Symptoms of Infection After a Knee Replacement?. Pain or stiffness in a previously well-functioning joint.. Warmth and redness around the wound.. Swelling.. Drainage from the wound.. Fevers.. Chills.. Fatigue.. Night Sweats.. How do you prevent infection after knee surgery?How to prevent prosthetic joint infection. Ask your surgeon if they screen patients to determine if they are carriers of staphylococcus. This is a bacteria that commonly causes joint infections. ... . Don't smoke, or if you do, quit before surgery. ... . If you have diabetes, control your blood sugar. ... . Maintain a healthy weight.. What causes a knee replacement to get infected?A knee replacement infection may develop in the wound after surgery. It may also occur around the artificial implant that is used to replace the knee joint. Harmful bacteria entering the wound usually cause the infection. A knee replacement infection can occur any time after surgery.
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