Articles | Volume 9, issue 5
https://doi.org/10.5194/jbji-9-217-2024
https://doi.org/10.5194/jbji-9-217-2024
Original full-length article
 | 
17 Oct 2024
Original full-length article |  | 17 Oct 2024

Yield of routine mycobacterial culture of osteoarticular specimens in a tertiary orthopaedic hospital in England, 2017–2022

Tom A. Yates, Olivier Vahesan, Simon Warren, and Antonia Scobie

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Cited articles

Alene, K. A., Wangdi, K., Colquhoun, S., Chani, K., Islam, T., Rahevar, K., Morishita, F., Byrne, A., Clark, J., and Viney, K.: Tuberculosis related disability: a systematic review and meta-analysis, BMC Med., 19, 203, https://doi.org/10.1186/s12916-021-02063-9, 2021. 
Broderick, C., Hopkins, S., Mack, D. J. F., Aston, W., Pollock, R., Skinner, J. A., and Warren, S.: Delays in the diagnosis and treatment of bone and joint tuberculosis in the United Kingdom, The Bone & Joint Journal, 100-B, 119–124, https://doi.org/10.1302/0301-620X.100B1.BJJ-2017-0357.R1, 2018. 
Brown Elliott, B. A. and Wallace, R. J. J.: Infections Due to Nontuberculous Mycobacteria Other than Mycobacterium avium-intracellulare, in: Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, vol. 2, Churchill Livingstone, Philadelphia, 3191–3198, 2010. 
Etti, M., Duret, A., Cootauco, C., and Papineni, P.: Delays in diagnosis of osteoarticular tuberculosis, Int. J. Infect. Dis., 101, 452–463, 2021. 
Golden, M., Moffarah, A. S., Kerantzas, C., Rubin, L., and O'Bryan, J.: Unnecessary Routine Use of Mycobacterial Cultures in Patients With Periprosthetic Joint Infections, Open Forum Infectious Diseases, 9, ofac132, https://doi.org/10.1093/ofid/ofac132, 2022. 
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Short summary
Our orthopaedic hospital attempts to culture tuberculosis (TB) bacteria from all bone and joint samples sent to the microbiology laboratory. We looked at 6162 TB cultures performed between 2017 and 2022. Bacteria that cause TB, or similar bacteria, were found in 1 in every 229 patients. Tests were more likely to be positive in people being investigated for cancer (sarcoma) and in samples from the spine, whereas they were much less likely to be positive in samples taken from replacement joints.