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Factors predictive of Cutibacterium periprosthetic shoulder infections: A retrospective study of 342 prosthetic revisions

Journal of Shoulder and Elbow Surgery Nov 06, 2019

Matsen III FA, et al. - In a retrospective review of 342 persons having prosthetic revisions between 2006 and 2018 for whom definitive deep culture outcomes were accessible, researchers determined whether the risk for a Cutibacterium infection was related to features that are available at the time of revision arthroplasty. Individuals with definite Cutibacterium periprosthetic infections were younger, more inclined to be male, more prone to have had their index procedure done for primary OA, more inclined to be taking testosterone supplements, had lower American Society of Anesthesiologists scores and had lower BMI. Significantly higher preoperative loads of Cutibacterium on their unprepared skin surface was noted in individuals with definite Cutibacterium periprosthetic infections and these persons were more inclined to have the surgical finding of synovitis. Thus, the risk of definite Cutibacterium periprosthetic infections is related to observations that could be made prior to or at the time of revision arthroplasty.
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