Propionibacterium acnes infection in shoulder arthroscopy patients with postoperative pain

John G. Horneff, Jason E. Hsu, Pramod B. Voleti, Judith O'Donnell, G. Russell Huffman

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background: Recent studies have identified Propionibacterium acnes as the causal organism in an increasing number of postoperative shoulder infections. Most reports have found a high rate of P acnes infection after open surgery, particularly shoulder arthroplasty. However, there are limited data regarding P acnes infections after shoulder arthroscopy. Materials and methods: We prospectively collected data on all shoulder arthroscopies performed by the senior author from January 1, 2009, until April 1, 2013. Cultures were taken in all revision shoulder arthroscopy cases performed for pain, stiffness, or weakness. In addition, 2 cultures were taken from each of a cohort of 32 primary shoulder arthroscopy cases without concern for infection to determine the false-positive rate. Results: A total of 1,591 shoulder arthroscopies were performed during this period, 68 (4.3%) of which were revision procedures performed for pain, stiffness, or weakness. A total of 20 revision arthroscopies (29.4%) had positive culture findings, and 16 (23.5%) were positive for P acnes. In the control group, 1 patient (3.2%) had P acnes growth. Conclusions: The rate of P acnes infection in patients undergoing revision shoulder arthroscopy is higher than previously published and should be considered in cases characterized by refractory postoperative pain and stiffness.

Original languageEnglish (US)
Pages (from-to)838-843
Number of pages6
JournalJournal of Shoulder and Elbow Surgery
Volume24
Issue number6
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

Fingerprint

Propionibacterium acnes
Arthroscopy
Postoperative Pain
Acne Vulgaris
Infection
Pain
Intractable Pain
Arthroplasty
Control Groups
Growth

Keywords

  • Arthroscopic surgery
  • Complications
  • Infection
  • Pain
  • Propionibacterium acnes
  • Revision surgery
  • Stiffness
  • Synovitis

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery
  • Medicine(all)

Cite this

Propionibacterium acnes infection in shoulder arthroscopy patients with postoperative pain. / Horneff, John G.; Hsu, Jason E.; Voleti, Pramod B.; O'Donnell, Judith; Huffman, G. Russell.

In: Journal of Shoulder and Elbow Surgery, Vol. 24, No. 6, 01.06.2015, p. 838-843.

Research output: Contribution to journalArticle

Horneff, John G. ; Hsu, Jason E. ; Voleti, Pramod B. ; O'Donnell, Judith ; Huffman, G. Russell. / Propionibacterium acnes infection in shoulder arthroscopy patients with postoperative pain. In: Journal of Shoulder and Elbow Surgery. 2015 ; Vol. 24, No. 6. pp. 838-843.
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abstract = "Background: Recent studies have identified Propionibacterium acnes as the causal organism in an increasing number of postoperative shoulder infections. Most reports have found a high rate of P acnes infection after open surgery, particularly shoulder arthroplasty. However, there are limited data regarding P acnes infections after shoulder arthroscopy. Materials and methods: We prospectively collected data on all shoulder arthroscopies performed by the senior author from January 1, 2009, until April 1, 2013. Cultures were taken in all revision shoulder arthroscopy cases performed for pain, stiffness, or weakness. In addition, 2 cultures were taken from each of a cohort of 32 primary shoulder arthroscopy cases without concern for infection to determine the false-positive rate. Results: A total of 1,591 shoulder arthroscopies were performed during this period, 68 (4.3{\%}) of which were revision procedures performed for pain, stiffness, or weakness. A total of 20 revision arthroscopies (29.4{\%}) had positive culture findings, and 16 (23.5{\%}) were positive for P acnes. In the control group, 1 patient (3.2{\%}) had P acnes growth. Conclusions: The rate of P acnes infection in patients undergoing revision shoulder arthroscopy is higher than previously published and should be considered in cases characterized by refractory postoperative pain and stiffness.",
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