کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4075091 1267029 2009 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Propionibacterium acnes colonization of the human shoulder
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Propionibacterium acnes colonization of the human shoulder
چکیده انگلیسی

BackgroundPropionibacterium acnes (P. acnes) is frequently cultured in patients with wound infections after shoulder surgery. The purpose of this study was to characterize the colonization of various anatomic locations with P. acnes in order to explain this clinical observation.MethodsCulture samples were collected from the skin overlying the shoulder, hip, and knee of 20 subjects (10 male, 10 female). Semi-quantitative cultures of P. acnes and Staphylococcus species were performed to define bacterial prevalence and burden at each site. The participants completed a questionnaire that assessed skin health, hygiene, and co-morbid medical conditions. Physical examination was performed to define local skin characteristics.ResultsAnterior and posterior acromial sites had a greater prevalence of P. acnes than the hip (anterior p=0.018; posterior p= 0.038) and knee (anterior p=0.0014; posterior p= 0.035) sites. The axilla had a greater prevalence of P. acnes than the knee (p=0.008). Males had a greater prevalence of P. acnes than females at the anterior (p=0.007) and posterior acromion sites (p=0.025). The burden of P. acnes at the anterior acromion (p=0.024), posterior acromion (p=0.035), and axilla (p=0.03) was greater than the mean burden at the hip. The burden of P. acnes at the anterior acromion (p=0.004), posterior acromion (p=0.007), and axilla (p=0.008) was greater than the mean burden at the knee. Males had a greater burden of P. acnes than females at the acromial sites (anterior p=0.0049; posterior p=0.0131).ConclusionsPropionibacterium acnes colonizes the shoulder at increased rates compared to the knee and hip, and men have a higher bacterial burden than females. These findings are consistent with clinical observations of postoperative shoulder infections.Level of evidenceBasic science study.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Shoulder and Elbow Surgery - Volume 18, Issue 6, November–December 2009, Pages 897–902
نویسندگان
, , , , ,