Propionibacterium in Shoulder Arthroplasty: What We Think We Know Today.
➤ Propionibacterium is a slow-growing gram-positive rod that is part of the normal skin microbiome but can be found on culture of specimens from a large number of patients having revision shoulder arthroplasty performed for pain, stiffness, and component loosening. ➤ Propionibacterium infections do...
| Publicado en: | Journal of Bone & Joint Surgery, American Volume Vol. 98; no. 7; pp. 597 - 607 |
|---|---|
| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
4/6/2016
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114312179&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 114312179 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00219355 1H2 jtl: Journal of Bone & Joint Surgery, American Volume issn: 00219355 maglogo: N pubinfo: dt: 4/6/2016 vid: 98 iid: 7 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 114312179 114312179 NLM27053589 114312179 10.2106/JBJS.15.00568 NLM27053589 114312179 ppf: 597 ppct: 10 formats: tig: atl: Propionibacterium in Shoulder Arthroplasty: What We Think We Know Today. aug: au: Hsu, Jason E. Bumgarner, Roger E. Matsen III, Frederick A. Matsen, Frederick A 3rd affil: Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington sug: subj: Arthroplasty Gram-Positive Bacteria Shoulder Joint Surgery Actinomycetales Infections Diagnosis Biofilms Actinomycetales Infections Prevention and Control Reoperation Human Skin Microbiology Actinomycetales Infections Immunology ab: ➤ Propionibacterium is a slow-growing gram-positive rod that is part of the normal skin microbiome but can be found on culture of specimens from a large number of patients having revision shoulder arthroplasty performed for pain, stiffness, and component loosening. ➤ Propionibacterium infections do not present with obvious signs of infection, such as swelling, erythema, drainage, or tenderness, but rather are of the so-called stealth type, presenting with unexplained pain, stiffness, or component loosening months to years after the index arthroplasty. ➤ Not all propionibacteria are the same: certain subtypes of Propionibacterium are enriched with virulence factors that may enhance deep infection. ➤ Because propionibacteria typically reside in the pilosebaceous glands of the oily skin of the chest and back, standard surgical skin preparation solutions and even perioperative intravenous antibiotics are often inadequate at sterilizing the incision site; therefore, other prophylactic measures such as meticulous implant handling to avoid contact with dermal structures need to be considered. ➤ Recovery of Propionibacterium from the surgical wounds requires that multiple specimens for culture be taken from different areas of the shoulder to reduce sampling error, and cultures should be held for two weeks on multiple culture media. ➤ Future research efforts can be focused on reducing the risk of implant infection and point-of-care methods for identifying Propionibacterium infections. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|