Differential microbiological spectrum and resistance pattern in periprosthetic hip joint infections: a matched-cohort analysis comparing direct anterior versus lateral approach

Aichmair, Alexander; Frank, Bernhard J. H.; Singer, Gabriel; Simon, Sebastian; Dominkus, Martin; Hofstaetter, Jochen G.

doi:10.1186/s12891-022-05037-x

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…Recent studies have also suggested Cutibacterium species to be the more commonly identified in the anterior thigh and groin area. 32,33 Given the increased utilization of the direct anterior approach with the healthcare system in recent years, 34 additional study investigating the infecting organism and THA surgical approach is needed.…”

Section: Discussionmentioning

confidence: 99%

Temporal Trends in Deep Surgical Site Infections After Six Orthopaedic Procedures Over a 12-year Period Within a US-based Healthcare System

Prentice

Chan

Champsi

et al. 2022

J Am Acad Orthop Surg

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Introduction: Centers of excellence and bundled payment models have driven perioperative optimization and surgical site infection (SSI) prevention with decolonization protocols and antibiotic prophylaxis strategies. We sought to evaluate time trends in the incidence of deep SSI and its causative organisms after six orthopaedic procedures in a US-based integrated healthcare system. Methods:We conducted a population-level time-trend study using data from Kaiser Permanente's orthopaedic registries. All patients who underwent primary anterior cruciate ligament reconstruction (ACLR), total knee arthroplasty (TKA), elective total hip arthroplasty (THA), hip fracture repair, shoulder arthroplasty, and spine surgery were identified (2009 to 2020). The annual incidence of 90-day deep SSI was identified according to the National Healthcare Safety Network/ Centers for Disease Control and Prevention guidelines with manual chart validation for identified infections. Poisson regression was used to evaluate annual trends in SSI incidence with surgical year as the exposure of interest. Annual trends in overall incidence and organismspecific incidence were considered.Results: The final study sample was composed of 465,797 primary orthopaedic procedures. Over the 12-year study period, a decreasing trend in deep SSI was observed for ACLR and hip fracture repair. Although there was variation in incidence rates for specific operative years for TKA, elective THA, shoulder arthroplasty, and spine surgery, no consistent decreasing trends over time were found. Decreasing rates of Staphylococcus aureus infections over time after hip fracture repair, shoulder arthroplasty, and spine surgery and decreasing trends in antibiotic resistance after elective THA and spine surgery were also observed. Increasing trends of polymicrobial infections were observed after TKA and Cutibacterium acnes after elective THA.

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Section: Discussionmentioning

confidence: 99%

Temporal Trends in Deep Surgical Site Infections After Six Orthopaedic Procedures Over a 12-year Period Within a US-based Healthcare System

Prentice

Chan

Champsi

et al. 2022

J Am Acad Orthop Surg

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“…Other Cutibacterium spp., such as Cutibacterium granulosum , have also occasionally been described as a cause of PJIs [ 9 ]. In addition, Cutibacterium avidum has recently been reported as a cause of PJIs [ 7 , 10 , 11 , 12 , 13 , 14 ]. Nevertheless, data regarding Cutibacterium avidum are rather scarce.…”

Section: Introductionmentioning

confidence: 99%

Cutibacterium avidum: A Potent and Underestimated Pathogen in Prosthetic Hip Joint Infections

Karlsson,

Kamenska,

Matuschek

et al. 2024

Microorganisms

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Cutibacterium avidum has recently been reported as a rare cause of prosthetic joint infections (PJIs), contrary to Cutibacterium acnes, which is well established as a cause of PJIs, especially in shoulder arthroplasties. Two specific risk factors for PJI due to C. avidum have been reported: obesity and the skin incision approach. Here, we report four cases of hip PJIs caused by C. avidum admitted over a 30-month period at a single center. Whole-genome sequencing revealed that the four C. avidum strains were all individual strains and did not originate from a common source, such as an outbreak. Antibiotic susceptibility tests showed that the isolates were fully susceptible, and none carried known antibiotic resistance genes. In conclusion, the occurrence of four cases of PJI caused by C. avidum over a limited time at a single center may indicate that this pathogen is underestimated and is either emerging or more common than previously recognized. The patients presented overt signs of infection during surgery, indicating that C. avidum is a virulent pathogen. None of the previously reported risk factors for C. avidum PJI applied to these patients as only one was obese and none were operated on using a direct anterior skin incision approach.

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Surgical Tips and Tricks for the Anterior-Based Muscle-Sparing Approach During Total Hip Arthroplasty

Wei Cheok,

Moo

2024

Arthroplasty Today

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Differential microbiological spectrum and resistance pattern in periprosthetic hip joint infections: a matched-cohort analysis comparing direct anterior versus lateral approach

Cited by 5 publications

References 29 publications

Temporal Trends in Deep Surgical Site Infections After Six Orthopaedic Procedures Over a 12-year Period Within a US-based Healthcare System

Temporal Trends in Deep Surgical Site Infections After Six Orthopaedic Procedures Over a 12-year Period Within a US-based Healthcare System

Cutibacterium avidum: A Potent and Underestimated Pathogen in Prosthetic Hip Joint Infections

Surgical Tips and Tricks for the Anterior-Based Muscle-Sparing Approach During Total Hip Arthroplasty

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