There appears to be little consensus on the need for postimplantation antibiotics in orthopedic TJR . Until similar studies are available for TMJ TJR, an antibiotic that covers the spectrum of potential skin, ear, and saliva contaminants (i.e., clindamycin and cephradine) is recommended for 7-10 days postoperatively, especially for the high-risk patient .
Although nosocomial infections are difficult to predict and manage, the duration of hospitalization should be minimized to reduce the risk of colonization of the patient’s skin with hospital-acquired organisms. Meticulous wound care and personal hygiene (hand washing) by both the surgeon and patient both during hospitalization and after discharge are absolutely essential .
Discharge Considerations and Information
The risk of infection continues even after the patient leaves the hospital. Surgeons should educate patients and their relatives regarding proper wound care, personal hygiene, how to recognize early signs of an impending infection, and the importance of reporting symptoms to their surgeons as soon as any arise. Providing preprinted instructional information and answers to frequently asked questions should be considered .