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01.08.2014 | Original Paper

Bacterial adherence to different components of total hip prosthesis in patients with prosthetic joint infection

verfasst von: Richard Lass, Alexander Giurea, Bernd Kubista, Alexander M. Hirschl, Wolfgang Graninger, Elisabeth Presterl, Reinhard Windhager, Johannes Holinka

Erschienen in: International Orthopaedics | Ausgabe 8/2014

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Abstract

Purpose

The purpose of our study was to evaluate and quantify the bacterial adherence to the different components of total hip prosthesis.

Methods

The bacterial load of 80 retrieved hip components from 24 patients was evaluated by counting of colony-forming units (CFU) dislodged from component surfaces using the sonication culture method.

Results

Micro-organisms were detected in 68 of 80 explanted components. The highest bacterial load was detected on the polyethylene liners, showing a significant difference in distribution of CFU between the liner and metal components (stem and cup). Staphylococcus epidermidis was identified as the pathogen causing the highest CFU count, especially from the polyethylene liner.

Conclusions

Results of our study confirm that sonicate culture of the retrieved liners and heads, which revealed the highest bacterial loads, are reliable and sufficient for pathogen detection in the clinical diagnostic routine.

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Titel: Bacterial adherence to different components of total hip prosthesis in patients with prosthetic joint infection
verfasst von: Richard Lass
Alexander Giurea
Bernd Kubista
Alexander M. Hirschl
Wolfgang Graninger
Elisabeth Presterl
Reinhard Windhager
Johannes Holinka
Publikationsdatum: 01.08.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 8/2014
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-014-2358-2

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