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Manceau L, Bémer P, Decroo J, Jolivet-Gougeon A, Plouzeau C, Lartigue MF, Bouard L, Chenouard R, Mazuet C, Leroy AG. Clostridial prosthetic joint infections: A series of 16 cases and literature review. Infect Dis Now 2023; 53:104776. [PMID: 37648080 DOI: 10.1016/j.idnow.2023.104776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 08/18/2023] [Accepted: 08/22/2023] [Indexed: 09/01/2023]
Abstract
OBJECTIVES Prosthetic joint infections (PJIs) due to the Clostridium species have not been widely investigated. We aimed to characterize these uncommon infections. METHODS We conducted a retrospective study between 2003 and 2020 in six French hospitals combined with a review of the literature. RESULTS The main conclusions obtained from the 16 patients included were reinforced by the literature analysis: (i) Clostridium perfringens was the most frequently involved species, (ii) patients presented an advanced age at the time of prosthesis placement and infection, (iii) most of the infections were early- or delayed-onset, (iv) the prognosis for these PJIs remains poor, (v) when performed (n = 5), DAIR with 12-week antimicrobial therapy led to a favorable outcome in 80% of cases. CONCLUSIONS Given the low incidence of this infection, our work represents the largest series of clostridial PJIs reported to date and highlights some specificities of these infections. Further prospective studies are needed to confirm these results.
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Affiliation(s)
- L Manceau
- Université de Nantes, CHU Nantes, Service de Bactériologie et des Contrôles Microbiologiques, F-44000 Nantes, France
| | - P Bémer
- Université de Nantes, CHU Nantes, Service de Bactériologie et des Contrôles Microbiologiques, F-44000 Nantes, France
| | - J Decroo
- Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire, CIC-UIC 1413 INSERM, Nantes, France
| | - A Jolivet-Gougeon
- Univ Rennes, INSERM, INRAE, CHU de Rennes, Institut NUMECAN (Nutrition Metabolims and Cancer), U1241, Microbiology, F-35000 Rennes, France
| | - C Plouzeau
- CHU de Poitiers, Department of Microbiology, Poitiers, France
| | - M-F Lartigue
- Service de Bactériologie-Virologie-Hygiène, Centre Hospitalier Universitaire de Tours, Tours, France; ISP, Université de Tours, INRAE, Tours, France
| | - L Bouard
- GCS biologie 85, CHD Vendée, Laboratoire de biologie médicale, La-Roche-Sur-Yon, France
| | - R Chenouard
- CHU de Angers, Department of Bacteriology, Angers, France
| | - C Mazuet
- National Reference Center for Anaerobic Bacteria and Botulism, Institut Pasteur, Paris, France
| | - A-G Leroy
- Université de Nantes, CHU Nantes, Service de Bactériologie et des Contrôles Microbiologiques, F-44000 Nantes, France; Laboratoire de Microbiologie, CHU Sud Réunion, Saint-Pierre, La Réunion, France.
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