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Outbreak of Postoperative Shoulder Arthritis Due to Propionibacterium acnes Infection in Nondebilitated Patients

Published online by Cambridge University Press:  21 June 2016

Philippe Berthelot
Affiliation:
Infection Control Unit, Saint-Étienne, France
A. Carricajo
Affiliation:
Microbiology Unit, Saint-Étienne, France
G. Aubert
Affiliation:
Microbiology Unit, Saint-Étienne, France
H. Akhavan
Affiliation:
Hospital Bellevue, University Hospital of Saint-Étienne, Jomayere Clinic, Saint-Étienne, France
D. Gazielly
Affiliation:
Hospital Bellevue, University Hospital of Saint-Étienne, Jomayere Clinic, Saint-Étienne, France
Frédéric Lucht
Affiliation:
Microbiology Unit, Saint-Étienne, France

Abstract

We investigated an outbreak of postoperative shoulder arthritis due to Propionibacterium acnes infection in nondebilitated patients. Risk factors were male sex, the order in which surgery was performed during the daily operating schedule, and increased duration of the surgical procedure. After modification of the ventilation system and implementation of improved cleaning methods in the operating theater, no new cases were recorded

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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References

1.Finegold, SM. Anaerobic Bacteria in Human Disease. New York: Academic Press; 1977:577578.Google Scholar
2.Brook, I. Anaerobic gram-positive nonsporulating bacilli. In: Mandell, GL, Bennett, JE, Dolin, R, eds. Mandell, Douglas and Bennett's Principles and Practice of Infectious Diseases. 4th ed. New York: Churchill Livingstone; 1995:22062208.Google Scholar
3.Friedman, E, Peyman, GA, May, DR. Endophthalmitis caused by Propionibacterium acnes. Can J Ophthalmol 1978; 13:5052.Google ScholarPubMed
4.Sulkowsky, MS, Abolnik, IZ, Morris, EI, et al. Infectious arthritis due to Propionibacterium acnes in prosthetic joint. Clin Infect Dis 1994; 19: 224225.CrossRefGoogle Scholar
5.Jakab, E, Zbinden, R, Gubler, J, et al. Severe infections caused by Propionibacterium acnes: an underestimated pathogen in late postoperative infections. Yale J Biol Med 1996; 69:477482.Google Scholar
6.Horan, TC, Gaynes, RP, Martone, WJ, Jarvis, WR, Emori, TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol 1992; 13:606608.Google Scholar
7.Fridkin, SK, Kremer, FB, Bland, LA, Padhye, A, McNeil, MM, Jarvis, WR. Acremonium kiliense endophthalmitis that occurred after cataract extraction in an ambulatory surgical center and was traced to an environmental reservoir. Clin Infect Dis 1996; 22:222227.CrossRefGoogle Scholar
8.Mehta, G. Aspergillus endocarditis after open heart surgery: an epidemiological investigation. J Hosp Infect 1990; 15:245253.Google Scholar
9.Sehulster, L, Chinn, RY. Guidelines for environmental infection control in health-care facilities: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). MMWR Recomm Rep 2003; 52(RR-10):142.Google Scholar
10.Mangram, AJ, Horan, TC, Pearson, ML. Guideline for prevention of surgical site infection, 1999. Centers for Disease Control and Prevention Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1999; 27:97132.Google Scholar