The hidden connection between gut microbiota and periprosthetic joint infections: a scoping review

<p><strong>Background</strong>: Periprosthetic joint infections (PJIs) pose a significant challenge in orthopedic surgery, and emerging evidence suggests that the gut microbiome may play a crucial role in their development and management. Despite the rarity of these infections, the...

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Bibliographic Details
Main Authors: A. Singlitico, D. Grassa, R. Kaplan, A. Smimmo, G. Maccauro, R. Vitiello
Format: Article
Language:English
Published: Copernicus Publications 2025-03-01
Series:Journal of Bone and Joint Infection
Online Access:https://jbji.copernicus.org/articles/10/85/2025/jbji-10-85-2025.pdf
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Summary:<p><strong>Background</strong>: Periprosthetic joint infections (PJIs) pose a significant challenge in orthopedic surgery, and emerging evidence suggests that the gut microbiome may play a crucial role in their development and management. Despite the rarity of these infections, the continuous increase in prosthetic joint arthroplasties has made understanding how to prevent them more pressing. A stronger comprehension of the disruption of the gut microbiome and how this can lead to more of these infections and other pre-surgical risks may be crucial in preventing them. <strong>Objective</strong>: This article aims to provide a stronger understanding of the topic through the analysis of different pieces of already existing literature to help draw new conclusions and raise potential questions that need answering. <strong>Methods</strong>: A comprehensive search strategy without filters was employed, and multiple papers were thoroughly analyzed, understood, and compiled into this paper. <strong>Conclusions</strong>: Despite the limitations of some of the analyzed studies and finite evidence, this paper suggests that there could be a connection between periprosthetic joint infections and a compromised gut microbiome. However, further research is required to draw a definitive conclusion.</p>
ISSN:2206-3552