AME: No More Joint Premedication?

Alan dives into the long-awaited alignment between dentists and orthopedic surgeons regarding antibiotic premedication for joint replacement patients. Reflecting on a wildly sarcastic blog post he wrote back in 2012, Alan breaks down the history of joint prophylaxis confusion—from the shotgun antibiotic approach of the 1990s to the frustratingly vague "case-by-case" guidelines of 2012 and 2017. He highlights the game-changing late-2024 AAOS/ADA update, which officially confirms that routine systemic antibiotics do not reduce the risk of periprosthetic joint infections. Alan shares his exact, blunt office protocol letter designed to push back against old-school surgeons who refuse to follow modern data, explains why patient safety and antibiotic stewardship must override legal fears

Some links from the show:

• "Meet the New Guidelines, Same as the Old Guidelines"
• Latest AAOS recommendation
• AAOS evidence base
• Alan's letter

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