Articles | Volume 6, issue 8
https://doi.org/10.5194/jbji-6-367-2021
https://doi.org/10.5194/jbji-6-367-2021
Review
 | 
07 Oct 2021
Review |  | 07 Oct 2021

Diagnosis of orthopaedic-implant-associated infections caused by slow-growing Gram-positive anaerobic bacteria – a clinical perspective

Diana Salomi Ponraj, Thomas Falstie-Jensen, Nis Pedersen Jørgensen, Christen Ravn, Holger Brüggemann, and Jeppe Lange

Related authors

Guideline for management of septic arthritis in native joints (SANJO)
Christen Ravn, Jeroen Neyt, Natividad Benito, Miguel Araújo Abreu, Yvonne Achermann, Svetlana Bozhkova, Liselotte Coorevits, Matteo Carlo Ferrari, Karianne Wiger Gammelsrud, Ulf-Joachim Gerlach, Efthymia Giannitsioti, Martin Gottliebsen, Nis Pedersen Jørgensen, Tomislav Madjarevic, Leonard Marais, Aditya Menon, Dirk Jan Moojen, Markus Pääkkönen, Marko Pokorn, Daniel Pérez-Prieto, Nora Renz, Jesús Saavedra-Lozano, Marta Sabater-Martos, Parham Sendi, Staffan Tevell, Charles Vogely, Alex Soriano, and the SANJO guideline group
J. Bone Joint Infect., 8, 29–37, https://doi.org/10.5194/jbji-8-29-2023,https://doi.org/10.5194/jbji-8-29-2023, 2023
Short summary

Cited articles

Achermann, Y., Sahin, F., Schwyzer, H. K., Kolling, C., Wust, J., and Vogt, M.: Characteristics and outcome of 16 periprosthetic shoulder joint infections, Infection, 41, 613–620, https://doi.org/10.1007/s15010-012-0360-4, 2013. 
Achermann, Y., Goldstein, E. J., Coenye, T., and Shirtliff, M. E.: Propionibacterium acnes: from commensal to opportunistic biofilm-associated implant pathogen, Clin. Microbiol. Rev., 27, 419–440, https://doi.org/10.1128/cmr.00092-13, 2014. 
Achermann, Y., Liu, J., Zbinden, R., Zingg, P. O., Anagnostopoulos, A., Barnard, E., Sutter, R., Li, H., McDowell, A., and Zinkernagel, A. S.: Propionibacterium avidum: A Virulent Pathogen Causing Hip Periprosthetic Joint Infection, Clin. Infect. Diseas., 66, 54–63, https://doi.org/10.1093/cid/cix665, 2017. 
Akgun, D., Muller, M., Perka, C., and Winkler, T.: The serum level of C-reactive protein alone cannot be used for the diagnosis of prosthetic joint infections, especially in those caused by organisms of low virulence, Bone Joint J., 100-B, 1482–1486, https://doi.org/10.1302/0301-620X.100B11.BJJ-2018-0514.R1, 2018. 
Akgun, D., Maziak, N., Plachel, F., Minkus, M., Scheibel, M., Perka, C., and Moroder, P.: Diagnostic Arthroscopy for Detection of Periprosthetic Infection in Painful Shoulder Arthroplasty, Arthroscopy, 35, 2571–2577, https://doi.org/10.1016/j.arthro.2019.03.058, 2019. 
Download
Short summary
Implant-associated infections (IAIs) in orthopaedic surgery are associated with high morbidity and mortality. Slow-growing anaerobic bacteria are increasingly being recognized as potential causative agents in such infections, but their diagnosis is difficult. The purpose of this review is to summarize the current knowledge of IAIs with these bacteria. In particular, the review gives an overview of the current methodology in the diagnosis of such infections, to serve as a guide for clinicians.
Share