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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Bartzokas, C. A. Martin, M. V. Johnson, R. Pearce, P. K. Saw, Y. Jane, M. |
| Description | Author Affiliation: Bartzokas CA ( Wirral Hospital NHS Trust, Wirral, Merseyside.); |
| Abstract | OBJECTIVE: To investigate the source of infections associated with orthopaedic prostheses. DESIGN: Analysis of four infections of prosthetic joints with case records; minimum inhibitory and minimum bactericidal concentrations and sodium dodecylsulphate polyacrylamide gel electrophoresis of the cell wall polypeptides of the Streptococcus sanguis isolates from the mouth and infected prostheses; examination of the patients' mouths for periodontal disease and caries. SUBJECTS: Four adults (three men) aged 58-83. RESULTS: For each patient the strain of S sanguis isolated from the mouth was indistinguishable from that isolated from the prosthesis. All patients had severe periodontal disease and caries. CONCLUSIONS: The mouth was probably the source of bacterial infection in the prosthetic joints of these patients; the route of infection was possibly haematogenous. Incipient oral infection should be treated before joint replacement, and oral health should be maintained indefinitely. |
| ISSN | 09598138 |
| e-ISSN | 17561833 |
| Journal | BMJ (British Medical Journal) |
| Issue Number | 6953 |
| Volume Number | 309 |
| Language | English |
| Publisher | British Medical Journal Publishing Group |
| Publisher Date | 1994-10-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Joint Prosthesis Mouth Microbiology Prosthesis-Related Infections Streptococcal Infections Streptococcus Sanguis Isolation & Purification Bacterial Typing Techniques Electrophoresis, Polyacrylamide Gel Hip Prosthesis Knee Prosthesis Microbial Sensitivity Tests Periodontal Diseases Transmission Medicine |
| Content Type | Text |
| Resource Type | Article |
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