Propionibacterium acnes in primary shoulder arthroplasty: rates of colonization, patient risk factors, and efficacy of perioperative prophylaxis

• Published in: Journal of shoulder and elbow surgery Vol. 25; no. 5; pp. 846 - 852
• Main Authors: Koh, Chuan Kong, Marsh, Jonathan P., Drinković, Dragana, Walker, Cameron G., Poon, Peter C.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.05.2016
• Subjects: Aged; Aged, 80 and over; Anti-Bacterial Agents - pharmacology; Anti-Infective Agents, Local - therapeutic use; antibiotic prophylaxis; Antisepsis - methods; Arthroplasty - adverse effects; cefazolin; Cefazolin - pharmacology; Female; Gram-Positive Bacterial Infections - etiology; Gram-Positive Bacterial Infections - prevention & control; Hair; Humans; Male; Microbial Sensitivity Tests; Middle Aged; Orthopedics; Perioperative Care - methods; primary shoulder arthroplasty; Propionibacterium acnes; Propionibacterium acnes - drug effects; Propionibacterium acnes - isolation & purification; Prospective Studies; Risk Factors; Sex Factors; Shoulder Joint - surgery; Skin - microbiology; steroid injection; Surgical Wound - microbiology; risk factors; Microbiology; steroid injection; cefazolin; Basic Science Study; antibiotic prophylaxis; Propionibacterium acnes; primary shoulder arthroplasty

Recent literature has shown that Propionibacterium acnes can be cultured from superficial and deep layers of the shoulder. Our aims were to assess the rate of P. acnes colonization in patients undergoing primary shoulder arthroplasty, to identify patient-related risk factors, and to evaluate the eff...