Risk of infection with knee replacement

[NanaB43]

For the past six months, at least, I have white blood cells in my urine. Three courses of antibiotics have not cleared it so my GP sent me to a urologist, when I told him I was on Cell Cept he said more tests were needed, I also told him I was due to have a total knee replacement in September his response was "that won't be done due to the risk of infection". I had previously asked my GP who said it wouldn't make any difference. I realise it will be up to my orthopaedic surgeon but as I really need this done but I wondered if anyone could advise me as to the risks involved. I have GCA and PMR diagnosed over six years ago which is under control. Thank you.

[Runrig01]

I currently work as a ward sister in an elective orthopaedic ward. Your urologist is quite correct in that whilst you have any urine infection underlying, your Orthopaedic surgeon is unlikely to proceed with surgery. The risks of the new implant being infected are too great. When new knee or hip joints do get infected, it means around 6 weeks of intravenous antibiotics, and can often lead to the implant being removed during this time till infection settles. I would not undergo planned surgery with a current underlying infection. It is a different situation in an emergency setting. I take it urine specimens have been sent off for Pathology to indicate which antibiotic your infection is sensitive to? If you are on the correct antibiotic the infection should settle quickly. Sorry it's not better news, but your health is too important to risk it further, best Wishes Runrig x

[NanaB43 in reply to Runrig01]

Thank you, even though it's not what I wanted to hear it does confirm my fears.

[Runrig01 in reply to NanaB43]

Hopefully now you are in the hands of a urologist you will re over quickly and can continue with surgery. If not it may just be delayed by a couple of weeks. Take care. Runrig x

[NanaB43 in reply to Runrig01]

GP has now given me another 10 day course of antibiotics co-amoxiclav hope they work this time!