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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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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author A. Singlitico
D. Grassa
R. Kaplan
A. Smimmo
G. Maccauro
R. Vitiello
author_facet A. Singlitico
D. Grassa
R. Kaplan
A. Smimmo
G. Maccauro
R. Vitiello
author_sort A. Singlitico
collection DOAJ
description <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>
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institution Kabale University
issn 2206-3552
language English
publishDate 2025-03-01
publisher Copernicus Publications
record_format Article
series Journal of Bone and Joint Infection
spelling doaj-art-6c8e3e0f2606456b9f8de6c8ea2eebdc2025-08-20T03:42:23ZengCopernicus PublicationsJournal of Bone and Joint Infection2206-35522025-03-0110859210.5194/jbji-10-85-2025The hidden connection between gut microbiota and periprosthetic joint infections: a scoping reviewA. Singlitico0D. Grassa1R. Kaplan2A. Smimmo3G. Maccauro4R. Vitiello5Department of Orthopaedics, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Orthopaedics, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Orthopaedics, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Orthopaedic and Traumatology, Aurelia Hospital Garofalo Healthcare, 00165 Rome, ItalyDepartment of Orthopaedics, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Orthopaedics, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy<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>https://jbji.copernicus.org/articles/10/85/2025/jbji-10-85-2025.pdf
spellingShingle A. Singlitico
D. Grassa
R. Kaplan
A. Smimmo
G. Maccauro
R. Vitiello
The hidden connection between gut microbiota and periprosthetic joint infections: a scoping review
Journal of Bone and Joint Infection
title The hidden connection between gut microbiota and periprosthetic joint infections: a scoping review
title_full The hidden connection between gut microbiota and periprosthetic joint infections: a scoping review
title_fullStr The hidden connection between gut microbiota and periprosthetic joint infections: a scoping review
title_full_unstemmed The hidden connection between gut microbiota and periprosthetic joint infections: a scoping review
title_short The hidden connection between gut microbiota and periprosthetic joint infections: a scoping review
title_sort hidden connection between gut microbiota and periprosthetic joint infections a scoping review
url https://jbji.copernicus.org/articles/10/85/2025/jbji-10-85-2025.pdf
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