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Nevertheless, patients should always be warned about the possibility of drug-induced arrhythmias and told what symptoms to be alert for.

A recent review of prosthetic joint infections by Theis et al 27 showed that staphylococci and streptococci accounted for the majority of infections and that only 35% of patients retained their original prosthesis. The other 65% required multiple operations requiring prolonged periods of hospitalisation and long term antibiotic treatment which failed in 30% of cases leaving the patient with no implants and significant disability.