Acute Management of Prosthetic Joint Infection BOAST

Description

The presentation by Jonathan Phillips discusses the acute management of Periprosthetic Joint Infection (PJI). He begins by explaining the establishment of BOAST (Best Practice in Orthopaedic Surgery and Trauma), which started as a standard for trauma treatment but is now being expanded to encompass broader treatment guidelines. Phillips notes the transition of BOAST to the oversight of the British Orthopaedic Association (BOA) to ensure more standardized and formal treatment protocols for common orthopedic conditions, including PJI. He emphasizes that PJI is a frequent and severe condition with high treatment costs and significant implications for patient health.



Phillips outlines the critical elements of managing acute situations of PJI, highlighting the importance of rapid and effective intervention, especially in potentially life-threatening cases. He introduces the concept of 'Sepsis Six' from the UK Sepsis Trust, stressing the urgency of care initiated by protocols involving oxygen delivery, blood tests, and antibiotics. Furthermore, he discusses the need for immediate surgery in septic cases versus a more measured approach in non-septic presentations. Phillips suggests that thorough patient evaluations, including past medical history and potential signs of infection, like endocarditis, are essential for proper diagnosis and treatment.



He emphasizes taking simple tests and regular consultant reviews to ensure accurate and timely patient care. Additionally, Phillips notes the need for specialty guidance for different types of joints affected by PJI and highlights ongoing developments in BOASTs concerning native joints and soft tissue infections. The talk concludes with an assertion of the need for collaboration within the orthopedic community to improve outcomes for patients with joint infections.

DOI: 10.1302/3114-240878

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