Yıl: 2022 Cilt: 62 Sayı: 1 Sayfa Aralığı: 36 - 41 Metin Dili: İngilizce DOI: 10.14744/hnhj.2020.99267 İndeks Tarihi: 21-06-2022

Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status

Öz:
Introduction: Cutibacterium acnes, formerly Propionibacterium acne, is a low virulence, aerotolerant anaerobes, Gram-positive, non-spore forming, pleomorphic bacillus. It is one of the common causes of infection that adversely affects the clinical outcome of patients, especially in implant-related infections after shoulder joint surgery. The aims of this study are to determine the incidence of C. acnes in tissue samples which were taken during shoulder arthroscopy and to compare the clinical status of patients with culture results. Methods: Patients who had shoulder arthroscopy in our hospital between January 2016 and July 2016 were evaluated prospectively. The patient’s visual analog scale score, Quick-Dash score, and Constant score were recorded before surgery and at 6th month after surgery and they were compared. Two or four samples were taken according to the shoulder pathology. Then, all of the samples were plated on 5% sheep blood agar and MacConkey agar for 14 days. Culture results and patient outcome scores compared. Results: We have followed 39 patients who met the inclusion criteria for 6 months. Thirteen of the patients were male, and 26 were female. There were seven patients whose culture results were positive (17.9%). There was no statistically significant difference in the distribution of clinical scores according to the culture result. (Mann-Whitney U p & lt; 0.05). Discussion and Conclusion: Despite the pre-operative skin preparation and standard antibiotic prophylaxis, shoulder arthroscopy mostly causes C. acnes inoculation, especially in the subacromial region. On the other hand, there was no difference in the clinical outcomes whether the patients developed C. acnes in tissue cultures or not. In the literature, C. acnes is associated with persistent pain and arthrosis in the shoulder region, but the results obtained in 6 month follow-ups are not compatible with this hypothesis.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Achermann Y, Goldstein EJ, Coenye T, Shirtliff ME. Propionibacterium acnes: From commensal to opportunistic biofilm-associated implant pathogen. Clin Microbiol Rev 2014;27:419–40.
  • 2. Patel A, Calfee RP, Plante M, Fischer SA, Green A. Propionibacterium acnes colonization of the human shoulder. J Shoulder Elbow Surg 2009;18:897–902.
  • 3. Levy PY, Fenollar F, Stein A, Borrione F, Cohen E, Lebail B, et al. Propionibacterium acnes postoperative shoulder arthritis: An emerging clinical entity. Clin Infect Dis 2008;46:1884–6.
  • 4. Zeller V, Ghorbani A, Strady C, Leonard P, Mamoudy P, Desplaces N. Propionibacterium acnes: An agent of prosthetic joint infection and colonization. J Infect 2007;55:119–24.
  • 5. Delyle LG, Vittecoq O, Bourdel A, Duparc F, Michot C, Le Loët X. Chronic destructive oligoarthritis associated with propionibacterium acnes in a female patient with acne vulgaris: Septic- reactive arthritis? Arthritis Rheum 2000;43:2843–7.
  • 6. 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;23:1763–71.
  • 7. Shenoy PA, Vishwanath S, Gawda A, Shetty S, Anegundi R, Varma M, et al. Anaerobic bacteria in clinical specimens - frequent, but a neglected lot: A five year experience at a tertiary care hospital. J Clin Diagn Res 2017;11:DC44–8.
  • 8. Frangiamore SJ, Saleh A, Grosso MJ, Alolabi B, Bauer TW, Iannotti JP, et al. Early versus late culture growth of propionibacterium acnes in revision shoulder arthroplasty. J Bone Joint Surg Am 2015;97:1149–58.
  • 9. Schwotzer N, Wahl P, Fracheboud D, Gautier E, Chuard C. Optimal culture incubation time in orthopedic device-associated infections: A retrospective analysis of prolonged 14-day incubation. J Clin Microbiol 2014;52:61–6.
  • 10. Schäfer P, Fink B, Sandow D, Margull A, Berger I, Frommelt L. Prolonged bacterial culture to identify late periprosthetic joint infection: A promising strategy. Clin Infect Dis 2008;47:1403– 9.
  • 11. Yeranosian MG, Arshi A, Terrell RD, Wang JC, McAllister DR, Petrigliano FA. Incidence of acute postoperative infections requiring reoperation after arthroscopic shoulder surgery. Am J Sports Med 2014;42:437–41.
  • 12. Trimble BS, Evers CJ, Ballaron SA, Young JM. Intraarticular injection of propionibacterium acnes causes an erosive arthritis in rats. Agents Actions 1987;21:281–3.
  • 13. Albert HB, Sorensen JS, Christensen BS, Manniche C. Antibiotic treatment in patients with chronic low back pain and vertebral bone edema (Modic type 1 changes): A double-blind randomized clinical controlled trial of efficacy. Eur Spine J 2013;22:697–707.
  • 14. Fischer N, Mak TN, Shinohara DB, Sfanos KS, Meyer TF, Brüggemann H. Deciphering the intracellular fate of propionibacterium acnes in macrophages. Biomed Res Int 2013;2013:603046.
  • 15. Günthard H, Hany A, Turina M, Wüst J. Propionibacterium acnes as a cause of aggressive aortic valve endocarditis and importance of tissue grinding: Case report and review. J Clin Microbiol 1994;32:3043–5.
  • 16. Assmann G, Simon P. The SAPHO syndrome--are microbes involved? Best Pract Res Clin Rheumatol 2011;25:423–34.
  • 17. Dilisio MF, Miller LR, Warner JJ, Higgins LD. Arthroscopic tissue culture for the evaluation of periprosthetic shoulder infection. J Bone Joint Surg Am 2014;96:1952–8.
  • 18. Chuang MJ, Jancosko JJ, Mendoza V, Nottage WM. The incidence of propionibacterium acnes in shoulder arthroscopy. Arthroscopy 2015;31:1702–7.
  • 19. Saltzman MD, Nuber GW, Gryzlo SM, Marecek GS, Koh JL. Efficacy of surgical preparation solutions in shoulder surgery. J Bone Joint Surg Am 2009;91:1949–53.
  • 20. Bunker TD, Boyd M, Gallacher S, Auckland CR, Kitson J, Smith CD. Association between propionibacterium acnes and frozen shoulder: A pilot study. Shoulder Elbow 2014;6:257–61.
  • 21. Hudek R, Sommer F, Abdelkawi AF, Kerwat M, Müller HH, Gohlke F. Propionibacterium acnes in shoulder surgery: Is loss of hair protective for infection? J Shoulder Elbow Surg 2016;25:973–80.
  • 22. Man MQ, Xin SJ, Song SP, Cho SY, Zhang XJ, Tu CX, et al. Variation of skin surface pH, sebum content and stratum corneum hydration with age and gender in a large Chinese population. Skin Pharmacol Physiol 2009;22:190–9.
  • 23. Deplewski D, Rosenfield RL. Role of hormones in pilosebaceous unit development. Endocr Rev 2000;21:363–92.
APA Soyarslan M, canbora m, balköse g, Kose O, aksaray s (2022). Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status. , 36 - 41. 10.14744/hnhj.2020.99267
Chicago Soyarslan Mehmet,canbora mehmet kerem,balköse gülçin,Kose Ozkan,aksaray sebahat Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status. (2022): 36 - 41. 10.14744/hnhj.2020.99267
MLA Soyarslan Mehmet,canbora mehmet kerem,balköse gülçin,Kose Ozkan,aksaray sebahat Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status. , 2022, ss.36 - 41. 10.14744/hnhj.2020.99267
AMA Soyarslan M,canbora m,balköse g,Kose O,aksaray s Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status. . 2022; 36 - 41. 10.14744/hnhj.2020.99267
Vancouver Soyarslan M,canbora m,balköse g,Kose O,aksaray s Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status. . 2022; 36 - 41. 10.14744/hnhj.2020.99267
IEEE Soyarslan M,canbora m,balköse g,Kose O,aksaray s "Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status." , ss.36 - 41, 2022. 10.14744/hnhj.2020.99267
ISNAD Soyarslan, Mehmet vd. "Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status". (2022), 36-41. https://doi.org/10.14744/hnhj.2020.99267
APA Soyarslan M, canbora m, balköse g, Kose O, aksaray s (2022). Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status. Haydarpaşa Numune Medical Journal, 62(1), 36 - 41. 10.14744/hnhj.2020.99267
Chicago Soyarslan Mehmet,canbora mehmet kerem,balköse gülçin,Kose Ozkan,aksaray sebahat Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status. Haydarpaşa Numune Medical Journal 62, no.1 (2022): 36 - 41. 10.14744/hnhj.2020.99267
MLA Soyarslan Mehmet,canbora mehmet kerem,balköse gülçin,Kose Ozkan,aksaray sebahat Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status. Haydarpaşa Numune Medical Journal, vol.62, no.1, 2022, ss.36 - 41. 10.14744/hnhj.2020.99267
AMA Soyarslan M,canbora m,balköse g,Kose O,aksaray s Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status. Haydarpaşa Numune Medical Journal. 2022; 62(1): 36 - 41. 10.14744/hnhj.2020.99267
Vancouver Soyarslan M,canbora m,balköse g,Kose O,aksaray s Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status. Haydarpaşa Numune Medical Journal. 2022; 62(1): 36 - 41. 10.14744/hnhj.2020.99267
IEEE Soyarslan M,canbora m,balköse g,Kose O,aksaray s "Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status." Haydarpaşa Numune Medical Journal, 62, ss.36 - 41, 2022. 10.14744/hnhj.2020.99267
ISNAD Soyarslan, Mehmet vd. "Cutibacterium Acnes (Formerly Pripionibacterium Acnes) Incidence in Shoulder Arthroscopy and Correlation with the Clinical Status". Haydarpaşa Numune Medical Journal 62/1 (2022), 36-41. https://doi.org/10.14744/hnhj.2020.99267