Evidence map›Paper›PMID 23124880›Full record

ArticleInfection2013

Characteristics and outcome of 16 periprosthetic shoulder joint infections.

Y Achermann, F Sahin, H K Schwyzer, C Kolling, J Wüst, M Vogt

2 registry-linked trialsOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Infection, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03949751 nacompletednot on this mapstarted 2018, after this paper: background citation

Can Propionibacterium Acnes Load in Primary Shoulder Surgery be Reduced With Preoperative Application of a Benzoylperoxid/Miconazolnitrat crème Additional to Standard Antibiotic Prophylaxis

TypeinterventionalSponsorBalgrist University HospitalRan2018 to 2020Enrolled60ConditionsShoulder InfectionsArmsAcne Crème Plus
NCT04608916 nacompletednot on this mapstarted 2021, after this paper: background citation

Efficacy of Surgical Diathermy in Eradicating Cutibacterium Acnes From Surgical Skin Incision During Shoulder Arthroplasty

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2021 to 2022Enrolled64ConditionsInfection, BacterialArmsUsing surgical diathermy to make skin incision, Using scalpel blade to make skin incision
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. C.acnes in the joint, is it all just a false positive?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Topical Treatments in ReducingInternational journal of surgery protocols · 2022
    Article
  16. Article
  17. Prosthetic Shoulder Joint Infection byAntibiotics (Basel, Switzerland) · 2021
    Article
  18. Pre- and peroperative diagnosis ofShoulder & elbow · 2021
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Y AchermannDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland. yvonne.achermann@gmail.com
F Sahin
H K Schwyzer
C Kolling
J Wüst
M Vogt
Schulthess-Klinik · CHZug Cantonal Hospital · CHUnilabs (Norway) · NOUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeShoulder arthroplasties are increasingly performed, but data on periprosthetic joint infections (PJI) in this anatomical position are limited. We retrospectively investigated the characteristics and outcome of shoulder PJI after primary arthroplasty from 1998 to 2010 in a single centre.

methodsPeriprosthetic joint infection was defined as periprosthetic purulence, presence of sinus tract or microbial growth. A Kaplan-Meier survival method was used to estimate relapse-free survival of prosthesis.

resultsFrom 1,571 primary shoulder prostheses, we evaluated 16 patients with a PJI at different stages, i.e, early (n = 4), delayed (n = 6) and late (n = 6) infections. The median patient age was 67 (range 53-86) years, and 69 % were females. The most commonly isolated microorganism was Propionibacterium acnes in 38 % of patients (monobacterial in four and polymicrobial in two patients). In 14 of the 16 patients, surgical interventions consisting of debridement and implant retention (6 patients), exchange (7) and explantation (1) were performed. Four patients had a relapse of infection with P. acnes (n = 3) or Bacteroides fragilis (n = 1). The relapse-free survival of the prosthesis was 75 % (95 % confidence interval 46-90 %) after 1 and 2 years, 100 % in six patients following the treatment algorithm for hip and knee PJI and 60 % in 10 patients not followed up. All but one of the relapses were previously treated without exchange of the prosthesis.

conclusionsAs recommended for hip and knee PJI, we suggest treating shoulder PJI with a low-grade infection by microorganisms such as P. acnes with an exchange of the prosthesis. Cohort studies are needed to verify our results.

Indexed as

AgedAged, 80 and overAnti-Bacterial AgentsArthroplastyBacteriaBacteroides InfectionsFemaleHumansMaleMiddle AgedOsteoarthritisProsthesis-Related InfectionsRetrospective StudiesShoulder JointSurvival AnalysisTreatment OutcomeAnti-Bacterial Agents

Identifiers

PMID23124880
OpenAlexW2051031676

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.