ArticleActa orthopaedica2018
Growth of Cutibacterium acnes is common on osteosynthesis material of the shoulder in patients without signs of infection.
Article in Acta orthopaedica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Latent infections in conversion total hip arthroplasty following internal fixation of femoral neck fractures: a systematic review and meta-analysis of diagnostic methods.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Decoding resistance: a comprehensive study on pathogens and antibiotic efficacy in periprosthetic joint infections.Journal of orthopaedic surgery and research · 2026Article
- Peri-implant soft tissue colonization after osteosynthesis in asymptomatic patients: a prospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Unexpected Positive Cultures After Failed Proximal Humerus Osteosynthesis: Why a Two-Stage Procedure Could Be Safer.Journal of clinical medicine · 2026Article
- Immune response against antibiotic-resistant and antibiotic-sensitive staphylococcus aureus in a rat model of implant infection.Scientific reports · 2025Article
- Spontaneous Clavicular Osteomyelitis Caused by Cutibacterium acnes Treated with Calcium Sulfate Beads.Journal of orthopaedic case reports · 2025Article
- Are high cutibacterium bacterial loads at the time of revision shoulder arthroplasty associated with more severe clinical signs or symptoms or increased risk of recurrent periprosthetic joint infection?International orthopaedics · 2025Article
- Article
- A Literature Review of Cutibacterium Acnes: From Skin Commensal to Pathogen in Shoulder Surgery.Cureus · 2024Review
- [Non-unions of the upper extremities].Chirurgie (Heidelberg, Germany) · 2024Article
- Phenotypic and Genotypic Characterization ofMicroorganisms · 2023Article
- A High Rate of Bacteriologic Culture-Positive Findings Is Seen After Revision Rotator Cuff Surgery.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- The value of sonication on orthopaedic implants in an everyday clinical setting - an exploratory study.BMC musculoskeletal disorders · 2023Article
- Revision surgery after failed surgical treatment of midshaft clavicle fractures is often associated with positive detection of bacteria.Archives of orthopaedic and trauma surgery · 2023Article
- Occult clavicle osteomyelitis caused by Cutibacterium acnes (C. acnes) after coracoclavicular ligament reconstruction: A case report and review of the literature.International journal of surgery case reports · 2022Article
- Is implant sonication useful when screening for infection in conversion of prior hip fracture fixation to total hip arthroplasty?The Journal of international medical research · 2021Article
- Cutibacterium acnes infections in revision surgery for persistent shoulder complaints: a retrospective cohort study.Archives of orthopaedic and trauma surgery · 2021Article
- Diagnosis of orthopaedic-implant-associated infections caused by slow-growing Gram-positive anaerobic bacteria - a clinical perspective.Journal of bone and joint infection · 2021Review
- Preliminary evaluation of a rapid lateral flow calprotectin test for the diagnosis of prosthetic joint infection.Bone & joint research · 2020Article
- 18F FDG-PET/CT has poor diagnostic accuracy in diagnosing shoulder PJI.European journal of nuclear medicine and molecular imaging · 2019Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - Cutibacterium acnes, formerly known as Propionibacterium acnes, is often isolated from deep tissues of the shoulder. It is recognized as an important causative agent of foreign-material associated infections. However, the incidence and significance of its detection in tissues from patients without clinical evidence for infection is unclear. We assessed the incidence of C. acnes colonization of osteosynthesis material in asymptomatic patients, and evaluated the short-term outcome in relation to the microbiological findings. Patients and methods - We microbiologically analyzed osteosynthesis material of 34 asymptomatic patients after surgery on the clavicle. Material obtained from 19 asymptomatic patients after osteosynthesis of the fibula served as a control group. Patients were clinically followed up for 3-24 months after removal of the osteosynthesis material. Results - Bacteria were recovered from devices in 29 of 34 patients from the clavicle group. 27 of 29 positive samples grew C. acnes. Isolation of C. acnes was more common in male than in female patients. No bacterial growth was observed on foreign material from patients in the fibula group. All patients remained asymptomatic at follow-up. Interpretation - Growth of C. acnes is common on osteosynthesis material of the shoulder, especially in males. Samples were positive irrespective of clinical signs of infection. Therefore, detection of C. acnes in this clinical setting is of questionable clinical significance. The high positivity rate in asymptomatic patients discourages routine sampling of material in cases without clinical evidence for infection.
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