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Propionibacterium shoulder

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https://www.readbyqxmd.com/read/29657463/survey-of-shoulder-arthroplasty-surgeons-methods-for-infection-avoidance-of-propionibacterium
#1
Stephen A Parada, K Aaron Shaw, Josef K Eichinger, Monica J Stadecker, Laurence D Higgins, Jon J P Warner
Introduction: Propionibacterium acnes infection after shoulder arthroplasty remains a source of morbidity. Determining practices amongst shoulder surgeons is the first step in developing infection-prevention best-practices. Methods: A survey was sent to a shoulder fellowship alumni group to determine their arthroplasty infection prevention methods. Results: 74% completed the survey. Cefazolin (90%), vancomycin (50%) and clindamycin (18%) were the most commonly used antibiotics, 61% utilized more than one antibiotic...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29622251/editorial-commentary-an-alternative-to-opioids-adhesive-drapes-and-chlorhexidine-skin-preparation-may-reduce-propionibacterium-acnes-related-pain-after-shoulder-surgery
#2
EDITORIAL
Bradford Burr Kraetzer
Propionibacterium acnes has long been known to play a detrimental role in shoulder surgery. This thoughtful and revealing study found significant evidence of lower rates of P. acnes cultured during arthroscopic rotator cuff repair with the use of an adhesive drape and chlorhexidine skin preparation.
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29609999/topical-benzoyl-peroxide-application-on-the-shoulder-reduces-propionibacterium-acnes-a-randomized-study
#3
Vendela M Scheer, Malin Bergman Jungeström, Maria Lerm, Lena Serrander, Anders Kalén
BACKGROUND: Propionibacterium acnes is a common cause of infection following shoulder surgery. Studies have shown that standard surgical preparation does not eradicate P acnes. The purpose of this study was to examine whether topical application of benzoyl peroxide (BPO) gel could decrease the presence of P acnes compared with today's standard treatment with chlorhexidine soap (CHS). We also investigated and compared the recolonization of the skin after surgical preparation and draping between the BPO- and CHS-treated groups...
March 30, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29557272/early-abdominal-aortic-graft-infection-due-to-propionibacterium-acnes-a-case-report-and-review-of-the-literature
#4
Carlo Pallotto, Gioele Simonte, Fabio Verzini, Massimo Lenti, Franco Baldelli, Daniela Francisci, Maurizio Fiorio
Propionibacterium acnes is a member of the human microbiota that has been recently associated with late-onset infections of indwelling devices, especially shoulder prosthesis. Aortic graft infection are rare events with significant morbidity and mortality. Here, we describe the case of an abdominal aortic graft infection due to P. acnes with an unusual early onset. A review of the recent English language literature has been added.
March 20, 2018: Journal of Chemotherapy
https://www.readbyqxmd.com/read/29544667/preoperative-skin-cultures-are-predictive-of-propionibacterium-load-in-deep-cultures-obtained-at-revision-shoulder-arthroplasty
#5
Jason E Hsu, Moni B Neradilek, Stacy M Russ, Frederick A Matsen
BACKGROUND: Propionibacterium-specific cultures are commonly positive in revised shoulders without obvious signs of infection. To help identify patients at risk for these "stealth" presentations of positive Propionibacterium cultures, we assessed the value of a preoperative skin culture in predicting the results of deep cultures obtained at the time of revision shoulder arthroplasty in patients without clinical evidence of infection. METHODS: The study enrolled 60 patients undergoing revision for a prior shoulder arthroplasty without clinical evidence of infection...
March 12, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29499825/antibiotic-prophylaxis-and-prevention-of-surgical-site-infection-in-shoulder-and-elbow-surgery
#6
REVIEW
K Keely Boyle, Thomas R Duquin
Infection after orthopedic procedures is a devastating and serious complication associated with significant clinical and financial challenges to the health care system and unfortunate patient. The time and resource-intensive nature of treating infection after orthopedic procedures has turned attention toward enhancing prevention and establishing quality improvement measures. Prevention strategies throughout the perioperative period include host optimization, risk mitigation, reducing bacterial burden and proper wound management...
April 2018: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/29472140/hemolytic-strains-of-propionibacterium-acnes-do-not-demonstrate-greater-pathogenicity-in-periprosthetic-shoulder-infections
#7
Jared M Mahylis, Vahid Entezari, James Karichu, Sandra Richter, Kathleen A Derwin, Joseph P Iannotti, Eric T Ricchetti
BACKGROUND: Hemolysis has been suggested as a feature conferring increased pathogenicity to certain Propionibacterium acnes strains in the setting of shoulder infection. The purpose of this study was to compare the virulence of hemolytic and nonhemolytic P acnes strains in patients undergoing revision shoulder arthroplasty. METHODS: Thirty-nine patients with at least 1 positive culture growth for P acnes at the time of revision surgery were identified with P acnes isolates available for hemolysis testing...
February 19, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29444755/preventing-infection-in-shoulder-surgery
#8
REVIEW
Jason J C Clark, Jeffrey T Abildgaard, Jeffrey Backes, Richard J Hawkins
Although rare, infection after shoulder surgery can represent a devastating complication. Infection can negatively affect clinical outcomes, and eradication often requires a protracted treatment course. Staphylococcus aureus, Staphylococcus epidermidis, and Propionibacterium acnes are among the most frequently isolated pathogens. Perioperative measures can be implemented to reduce infection risk. Here we review various perioperative practices and their efficacy at reducing infection after shoulder surgery.
February 12, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29373294/propionibacterium-acnes-suture-contamination-in-arthroscopic-rotator-cuff-repair-a-prospective-randomized-study
#9
Kotaro Yamakado
PURPOSE: To examine the contamination rate of the anchor-suture and to determine the efficacy of 2 different surgical skin preparation solutions with or without a plastic adhesive drape from suture contamination in arthroscopic rotator cuff repair. METHODS: A prospective randomized study was undertaken to evaluate 126 consecutive patients undergoing arthroscopic rotator cuff repair. Each shoulder was prepared with one of 2 randomly selected solutions according to an assigned envelope that indicated the procedure to be used: chlorhexidine-alcohol (1% chlorhexidine gluconate and 70% isopropyl alcohol) or povidone-iodine...
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29361412/prevalence-of-propionibacterium-acnes-in-the-glenohumeral-compared-with-the-subacromial-space-in-primary-shoulder-arthroscopies
#10
Thilo Patzer, Sabine Petersdorf, Ruediger Krauspe, Pablo Emilio Verde, Birgit Henrich, Martin Hufeland
HYPOTHESIS: We hypothesized that the prevalence of Propionibacterium acnes in patients undergoing primary shoulder arthroscopy is equal in the glenohumeral space compared with the subacromial space. METHODS: Patients aged 18 years or older with shoulder arthroscopies were included. The exclusion criteria were prior shoulder operations, complete rotator cuff tears, systemic inflammatory diseases, tumors, shoulder injections within 6 months of surgery, and antibiotic therapy within 14 days preoperatively...
January 18, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29296168/glenohumeral-joint-sepsis-after-joint-injection-through-a-new-tattoo
#11
Richard Becker, Sean Haight
We report a case of Propionibacterium acnes septic arthritis of a shoulder following two joint access procedures. Methodical investigation of these two procedures was performed using the Joint Commission root cause analysis matrix, which involved examination of protocols, interviews with technologists and physicians, and inspection of the procedure rooms and equipment. No procedural error or other causal factor for infection was found other than the injection through a five day-old tattoo during the first procedure...
November 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/29203432/cutibacterium-acnes-prosthetic-joint-infection-diagnosis-and-treatment
#12
REVIEW
P Boisrenoult
Cutibacterium acnes is a commensal skin bacterium, regularly implicated in prosthetic joint infection, particularly of the shoulder. Diagnosis has been improved by progress in bacteriological techniques: longer culture time, liquid medium culture, MALDI-TOF mass spectrography, and universal 16S rRNA PCR, associated by some authors to sonication of ablated implants. C. acnes pathogenicity involves many virulence factors, notably including biofilm formation. C. acnes may lead to infection that is clinically evident or, frequently, relatively asymptomatic...
February 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29071046/native-join-propionibacterium-septic-arthritis
#13
Thomas Taylor, Marcus Coe, Ana Mata-Fink, Richard Zuckerman
Propionibacterium species are associated with normal skin flora and cultures may be dismissed as contaminants. They are increasingly recognized as a cause of septic arthritis following shoulder arthroplasty and arthrotomy. We identified three cases of Propionibacterium septic arthritis in native joints mimicking atypical osteoarthritis and review the literature, clinical course, and treatment of 18 cases. Two cases of Propionibacterium acne in native knee joints and one in a sternoclavicular joint are described...
October 2, 2017: Infectious Disease Reports
https://www.readbyqxmd.com/read/29037535/performance-of-implant-sonication-culture-for-the-diagnosis-of-periprosthetic-shoulder-infection
#14
Matthew J Grosso, Salvatore J Frangiamore, George Yakubek, Thomas W Bauer, Joseph P Iannotti, Eric T Ricchetti
BACKGROUND: Diagnosing infection after shoulder arthroplasty can be a challenge because of the high prevalence of low-virulence organisms, such as Propionibacterium acnes. The purpose of this study was to evaluate the utility of implant sonication fluid cultures in the diagnosis of periprosthetic joint infection compared with standard culture techniques in patients undergoing revision shoulder arthroplasty. METHODS: Routine perioperative testing was performed in 53 patients who underwent revision shoulder arthroplasty...
February 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28875126/postoperative-deep-shoulder-infections-following-rotator-cuff-repair
#15
REVIEW
Kivanc Atesok, Peter MacDonald, Jeff Leiter, Sheila McRae, Greg Stranges, Jason Old
Rotator cuff repair (RCR) is one of the most commonly performed surgical procedures in orthopaedic surgery. The reported incidence of deep soft-tissue infections after RCR ranges between 0.3% and 1.9%. Deep shoulder infection after RCR appears uncommon, but the actual incidence may be higher as many cases may go unreported. Clinical presentation may include increasing shoulder pain and stiffness, high temperature, local erythema, swelling, warmth, and fibrinous exudate. Generalized fatigue and signs of sepsis may be present in severe cases...
August 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28865964/routine-cultures-for-seemingly-aseptic-revision-shoulder-arthroplasty-are-they-necessary
#16
REVIEW
Tyler J Brolin, Daniel J Hackett, Joseph A Abboud, Jason E Hsu, Surena Namdari
Propionibacterium acnes has recently gained attention as the leading cause of periprosthetic joint infections (PJIs) after shoulder arthroplasty. Unlike PJIs in the lower extremity, PJIs after shoulder arthroplasty usually have an indolent course and are notoriously difficult to diagnose. Most of the time, the diagnosis is made after positive intraoperative cultures are taken at the time of revision surgery. Adding even more complexity to the diagnosis is the high rate of P acnes-positive cultures taken at the time of primary shoulder surgery...
November 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28768784/the-colonisation-of-the-glenohumeral-joint-by-propionibacterium-acnes-is-not-associated-with-frozen-shoulder-but-is-more-likely-to-occur-after-an-injection-into-the-joint
#17
S J Booker, M Boyd, S Gallacher, J P Evans, C Auckland, J Kitson, W Thomas, C D Smith
AIMS: Our aim was to investigate the prevalence of Propionibacterium (P.) acnes in the subcutaneous fat and capsule of patients undergoing shoulder surgery for frozen shoulder or instability. PATIENTS AND METHODS: A total of 46 patients undergoing either an arthroscopic capsular release or stabilisation had biopsies taken from the subcutaneous fat and capsule of the shoulder at the time of surgery. These samples were sent for culture in enrichment, and also for Nucleic Acid Amplification testing...
August 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28751093/two-stage-reimplantation-for-the-treatment-of-deep-infection-after-shoulder-arthroplasty
#18
Andrew T Assenmacher, Eduard Alentorn-Geli, Taylor Dennison, Yaser M K Baghdadi, Robert H Cofield, Joaquín Sánchez-Sotelo, John W Sperling
BACKGROUND: Two-stage reimplantation is the most common treatment modality considered for periprosthetic shoulder infection (PSI). Most studies to date have reported on a relatively small number of shoulders. The purpose of this study was to determine the outcome of 2-stage reimplantation for PSI in terms of both eradication of infection and restoration of function. METHODS: Between 1980 and 2010, 40 shoulders (39 patients) underwent a 2-stage reimplantation for PSI; 35 shoulders (34 patients) met inclusion criteria (10 hemiarthroplasties, 24 anatomic total shoulder arthroplasties, 1 reverse total shoulder arthroplasty)...
November 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28734717/preoperative-doxycycline-does-not-decolonize-propionibacterium-acnes-from-the-skin-of-the-shoulder-a-randomized-controlled-trial
#19
Surena Namdari, Thema Nicholson, Javad Parvizi, Matthew Ramsey
BACKGROUND: Propionibacterium acnes is frequently cultured in patients undergoing both primary and revision shoulder surgery. The purpose of this study was to evaluate the efficacy and safety of preoperative oral administration of doxycycline in decreasing the colonization of skin around the shoulder by P. acnes. METHODS: This was a single-institution, prospective, randomized controlled trial of male patients undergoing shoulder arthroscopy. Patients were randomized to receive oral doxycycline (100 mg twice a day) for 7 days or to the standard of care (no drug)...
September 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28701012/-diagnosis-of-periprosthetic-joint-infection-of-shoulder-arthroplasties
#20
Bernd Fink, Florian Sevelda
Periprosthetic joint infection of shoulder arthroplasties is one of the most frequent reasons for pain and revision surgery of shoulder arthroplasties. Propionibacterium acnes is one of the commonest microorganisms causing periprosthetic joint infection in shoulder arthroplasties. It is difficult to detect this slow growing microorganism. This paper gives an overview of the different diagnostic methods. A combination of unspecific and specific tests (detection of microorganism and sensitivity to antibiotics) is helpful in identifying a periprosthetic shoulder infection...
December 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
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