NDLI: Microbiologic Diagnosis of Prosthetic Shoulder Infection by Use of Implant Sonication▿

Content Provider	PubMed Central
Author	Piper, Kerryl E. Jacobson, Melissa J. Cofield, Robert H. Sperling, John W. Sanchez Sotelo, Joaquin Osmon, Douglas R. Mcdowell, Andrew Patrick, Sheila Steckelberg, James M. Mandrekar, Jayawant N. Sampedro, Marta Fernandez Patel, Robin
Abstract	We recently described a sonication technique for the diagnosis of prosthetic knee and hip infections. We compared periprosthetic tissue culture to implant sonication followed by sonicate fluid culture for the diagnosis of prosthetic shoulder infection. One hundred thirty-six patients undergoing arthroplasty revision or resection were studied; 33 had definite prosthetic shoulder infections and 2 had probable prosthetic shoulder infections. Sonicate fluid culture was more sensitive than periprosthetic tissue culture for the detection of definite prosthetic shoulder infection (66.7 and 54.5%, respectively; P = 0.046). The specificities were similar (98.0% and 95.1%, respectively; P = 0.26). Propionibacterium acnes was the commonest species detected among culture-positive definite prosthetic shoulder infection cases by periprosthetic tissue culture (38.9%) and sonicate fluid culture (40.9%). All subjects from whom P. acnes was isolated from sonicate fluid were male. We conclude that sonicate fluid culture is useful for the diagnosis of prosthetic shoulder infection.
Related Links	http://dx.doi.org/10.1128/jcm.01686-08
Ending Page	1884
Page Count	7
Starting Page	1878
File Format	PDF
ISSN	00951137
e-ISSN	1098660X
Journal	Journal of Clinical Microbiology
Issue Number	6
Volume Number	47
Language	English
Publisher	American Society for Microbiology (ASM)
Publisher Date	2009-06-01
Access Restriction	Open
Rights Holder	American Society for Microbiology (ASM)
Subject Keyword	Microbiology (medical) Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Microbiology (medical)

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