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DOI: 10.1055/s-0041-1735170
Detecção de Cutibacterium acnes em amostras de tecidos de cirurgias limpas primárias do ombro – Parte I
Artikel in mehreren Sprachen: português | English
Resumo
Objetivo Identificar agentes bacterianos em amostras de cirurgias do ombro de pacientes sem histórico de infecção e de cirurgias prévias no ombro.
Métodos Amostras de tendão, bursa e osso foram coletadas no intraoperatório, armazenadas em frascos estéreis a seco e enviadas para análise de crescimento de cultura em meios para agentes aeróbios e anaeróbios no laboratório credenciado ao hospital. Foram analisados os resultados de 141 amostras de 47 ombros.
Resultados Obtivemos resultados de culturas negativas em 46 casos (97,8%) e em 140 amostras (99,2%). Apenas um paciente apresentou resultado positivo, com crescimento bacteriano do Staphylococcus hominis em uma das três amostras coletadas.
Conclusões Não evidenciamos taxas de crescimento bacteriano condizentes com a literatura internacional, alertando para a baixa eficácia dos métodos laboratoriais utilizados no nosso país.
Suporte Financeiro
Não houve suporte financeiro de fontes públicas, comerciais, ou sem fins lucrativos.
Note
Trabalho realizado no Hospital Alemão Oswaldo Cruz, São Paulo, SP, Brasil.
Publikationsverlauf
Eingereicht: 18. Januar 2021
Angenommen: 12. April 2021
Artikel online veröffentlicht:
25. Oktober 2021
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referências
- 1 Gomes LSM. Early Diagnosis of Periprosthetic Joint Infection of the Hip-Current Status, Advances, and Perspectives. Rev Bras Ortop (Sao Paulo) 2019; 54 (04) 368-376
- 2 Ahsan ZS, Somerson JS, Matsen 3rd FA. Characterizing the Propionibacterium Load in Revision Shoulder Arthroplasty: A Study of 137 Culture-Positive Cases. J Bone Joint Surg Am 2017; 99 (02) 150-154
- 3 Qiu B, Al K, Pena-Diaz AM. et al. Cutibacterium acnes and the shoulder microbiome. J Shoulder Elbow Surg 2018; 27 (10) 1734-1739
- 4 Torrens C, Marí R, Alier A, Puig L, Santana F, Corvec S. Cutibacterium acnes in primary reverse shoulder arthroplasty: from skin to deep layers. J Shoulder Elbow Surg 2019; 28 (05) 839-846
- 5 Bonnevialle N, Dauzères F, Toulemonde J, Elia F, Laffosse JM, Mansat P. Periprosthetic shoulder infection: an overview. EFORT Open Rev 2017; 2 (04) 104-109
- 6 Nagaya LH, Salles MJC, Takikawa LSC. et al. Infections after shoulder arthroplasty are correlated with higher anesthetic risk score: a case-control study in Brazil. Braz J Infect Dis 2017; 21 (06) 613-619
- 7 Shi LL, Von Kuedell AG, Higgins Dl. Treatment of shoulder infections after arthroscopy, open surgery, or arthroplasty. Curr Orthop Pract 2012; 23 (01) 23-28
- 8 Padegimas EM, Lawrence C, Narzikul AC. et al. Future surgery after revision shoulder arthroplasty: the impact of unexpected positive cultures. J Shoulder Elbow Surg 2017; 26 (06) 975-981
- 9 Howlin RP, Winnard C, Angus EM. et al. Prevention of Propionibacterium acnes biofilm formation in prosthetic infections in vitro. J Shoulder Elbow Surg 2017; 26 (04) 553-563
- 10 Lutz MF, Berthelot P, Fresard A. et al. Arthroplastic and osteosynthetic infections due to Propionibacterium acnes: a retrospective study of 52 cases, 1995-2002. Eur J Clin Microbiol Infect Dis 2005; 24 (11) 739-744
- 11 Koh CK, Marsh JP, Drinković D, Walker CG, Poon PC. Propionibacterium acnes in primary shoulder arthroplasty: rates of colonization, patient risk factors, and efficacy of perioperative prophylaxis. J Shoulder Elbow Surg 2016; 25 (05) 846-852
- 12 Hudek R, Sommer F, Kerwat M, Abdelkawi AF, Loos F, Gohlke F. Propionibacterium acnes in shoulder surgery: true infection, contamination, or commensal of the deep tissue?. J Shoulder Elbow Surg 2014; 23 (12) 1763-1771
- 13 Clark JJC, Abildgaard JT, Backes J, Hawkins RJ. Preventing infection in shoulder surgery. J Shoulder Elbow Surg 2018; 27 (07) 1333-1341
- 14 Levy O, Iyer S, Atoun E. et al. Propionibacterium acnes: an underestimated etiology in the pathogenesis of osteoarthritis?. J Shoulder Elbow Surg 2013; 22 (04) 505-511
- 15 Achermann Y, Goldstein EJ, Coenye T, Shirtliff ME. Propionibacterium acnes: from commensal to opportunistic biofilm-associated implant pathogen. Clin Microbiol Rev 2014; 27 (03) 419-440
- 16 Boisrenoult P. Cutibacterium acnes prosthetic joint infection: Diagnosis and treatment. Orthop Traumatol Surg Res 2018; 104 (1S): S19-S24
- 17 Elston MJ, Dupaix JP, Opanova MI, Atkinson RE. Cutibacterium acnes (formerly Proprionibacterium acnes) and Shoulder Surgery. Hawaii J Health Soc Welf 2019; 78 (11, Suppl 2) 3-5
- 18 Topolski MS, Chin PY, Sperling JW, Cofield RH. Revision shoulder arthroplasty with positive intraoperative cultures: the value of preoperative studies and intraoperative histology. J Shoulder Elbow Surg 2006; 15 (04) 402-406
- 19 Assunção JH, Noffs GG, Malavolta EA, Gracitelli MEC, Lima ALM, Ferreira Neto AA. Septic arthritis of the shoulder and elbow: one decade of epidemiological analysis at a tertiary referral hospital. Rev Bras Ortop 2018; 53 (06) 707-713