Matches in SemOpenAlex for { <https://semopenalex.org/work/W4308497368> ?p ?o ?g. }
- W4308497368 endingPage "499" @default.
- W4308497368 startingPage "492" @default.
- W4308497368 abstract "The accuracy of preoperative synovial fluid culture for microbe detection in shoulder periprosthetic joint infection (PJI) is poorly described. To evaluate the utility of preoperative culture data for early pathogen identification for shoulder PJI, we determined the concordance between preoperative synovial fluid culture results and intraoperative tissue culture results.Fifty patients who met the 2014 Musculoskeletal Infection Society criteria for shoulder PJI between January 2016 and December 2019 were retrospectively reviewed for clinical and demographic data. This cohort of patients was divided into 2 groups based on the concordance between preoperative and intraoperative culture results. The pathogens identified on preoperative and intraoperative cultures were classified as high-virulence or low-virulence. Student's t tests and Mann-Whitney U tests were used as appropriate for continuous variables, and χ2 and Fisher's exact tests were used as appropriate for categorical variables.Concordance between preoperative aspiration and intraoperative tissue culture was identified in 28 of 50 patients (56%). Preoperative cultures positive for Gram-positive species were more likely to be concordant than discordant (P = .015). Preoperative cultures positive for Cutibacterium acnes were more likely to be concordant with intraoperative cultures (P = .022). There were more patients with polymicrobial infection in the discordant group compared with the concordant group (P < .001). No statistically significant correlation between the preoperative serum C-reactive protein level and the intraoperative category of bacteria was reported. Staphylococcus aureus and coagulase-negative Staphylococci were associated with high specificity and negative predictive value. Preoperative cultures positive for C. acnes demonstrated sensitivity, specificity, positive predictive value, and negative predictive value lower than 0.8. Gram-negative pathogens demonstrated the highest sensitivity (1) and specificity (1), whereas polymicrobial infections exhibited the lowest sensitivity and positive predictive value.Preoperative synovial fluid aspiration for shoulder PJI poorly predicts intraoperative culture results, with a discordance of 44%. More favorable concordance was observed for monomicrobial preoperative cultures, particularly for Gram-negative organisms and methicillin-sensitive S. aureus. The overall high rate of discordance between preoperative and intraoperative culture may prompt surgeons to base medical and surgical management on patient history and other factors and avoid relying solely on preoperative synovial fluid culture data." @default.
- W4308497368 created "2022-11-12" @default.
- W4308497368 creator A5002463012 @default.
- W4308497368 creator A5036848891 @default.
- W4308497368 creator A5038948046 @default.
- W4308497368 creator A5054031202 @default.
- W4308497368 creator A5058518459 @default.
- W4308497368 creator A5060589995 @default.
- W4308497368 creator A5062052834 @default.
- W4308497368 date "2023-03-01" @default.
- W4308497368 modified "2023-10-03" @default.
- W4308497368 title "What is the concordance rate of preoperative synovial fluid aspiration and intraoperative biopsy in detecting periprosthetic joint infection of the shoulder?" @default.
- W4308497368 cites W1982038263 @default.
- W4308497368 cites W1983255179 @default.
- W4308497368 cites W1995912447 @default.
- W4308497368 cites W2006240870 @default.
- W4308497368 cites W2070976522 @default.
- W4308497368 cites W2079575346 @default.
- W4308497368 cites W2111952614 @default.
- W4308497368 cites W2130101064 @default.
- W4308497368 cites W2133382513 @default.
- W4308497368 cites W2137925733 @default.
- W4308497368 cites W2140756156 @default.
- W4308497368 cites W2141339555 @default.
- W4308497368 cites W2155639766 @default.
- W4308497368 cites W2208245429 @default.
- W4308497368 cites W2298198568 @default.
- W4308497368 cites W2578788821 @default.
- W4308497368 cites W2584347173 @default.
- W4308497368 cites W2592710337 @default.
- W4308497368 cites W2597814169 @default.
- W4308497368 cites W2604404035 @default.
- W4308497368 cites W2866306716 @default.
- W4308497368 cites W2896118792 @default.
- W4308497368 cites W2900642502 @default.
- W4308497368 cites W2909575114 @default.
- W4308497368 cites W292766764 @default.
- W4308497368 cites W2941174069 @default.
- W4308497368 cites W2944118131 @default.
- W4308497368 cites W2977137685 @default.
- W4308497368 cites W3094917519 @default.
- W4308497368 cites W3122218950 @default.
- W4308497368 cites W3127189814 @default.
- W4308497368 cites W3159942477 @default.
- W4308497368 cites W3170534676 @default.
- W4308497368 cites W4250882241 @default.
- W4308497368 doi "https://doi.org/10.1016/j.jse.2022.10.008" @default.
- W4308497368 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36343792" @default.
- W4308497368 hasPublicationYear "2023" @default.
- W4308497368 type Work @default.
- W4308497368 citedByCount "3" @default.
- W4308497368 countsByYear W43084973682022 @default.
- W4308497368 countsByYear W43084973682023 @default.
- W4308497368 crossrefType "journal-article" @default.
- W4308497368 hasAuthorship W4308497368A5002463012 @default.
- W4308497368 hasAuthorship W4308497368A5036848891 @default.
- W4308497368 hasAuthorship W4308497368A5038948046 @default.
- W4308497368 hasAuthorship W4308497368A5054031202 @default.
- W4308497368 hasAuthorship W4308497368A5058518459 @default.
- W4308497368 hasAuthorship W4308497368A5060589995 @default.
- W4308497368 hasAuthorship W4308497368A5062052834 @default.
- W4308497368 hasConcept C126322002 @default.
- W4308497368 hasConcept C141071460 @default.
- W4308497368 hasConcept C142724271 @default.
- W4308497368 hasConcept C160798450 @default.
- W4308497368 hasConcept C167135981 @default.
- W4308497368 hasConcept C189539697 @default.
- W4308497368 hasConcept C204787440 @default.
- W4308497368 hasConcept C2775934546 @default.
- W4308497368 hasConcept C2776164576 @default.
- W4308497368 hasConcept C2776268809 @default.
- W4308497368 hasConcept C2777722626 @default.
- W4308497368 hasConcept C2778120723 @default.
- W4308497368 hasConcept C2778336525 @default.
- W4308497368 hasConcept C523546767 @default.
- W4308497368 hasConcept C54355233 @default.
- W4308497368 hasConcept C71924100 @default.
- W4308497368 hasConcept C72563966 @default.
- W4308497368 hasConcept C86803240 @default.
- W4308497368 hasConcept C90924648 @default.
- W4308497368 hasConceptScore W4308497368C126322002 @default.
- W4308497368 hasConceptScore W4308497368C141071460 @default.
- W4308497368 hasConceptScore W4308497368C142724271 @default.
- W4308497368 hasConceptScore W4308497368C160798450 @default.
- W4308497368 hasConceptScore W4308497368C167135981 @default.
- W4308497368 hasConceptScore W4308497368C189539697 @default.
- W4308497368 hasConceptScore W4308497368C204787440 @default.
- W4308497368 hasConceptScore W4308497368C2775934546 @default.
- W4308497368 hasConceptScore W4308497368C2776164576 @default.
- W4308497368 hasConceptScore W4308497368C2776268809 @default.
- W4308497368 hasConceptScore W4308497368C2777722626 @default.
- W4308497368 hasConceptScore W4308497368C2778120723 @default.
- W4308497368 hasConceptScore W4308497368C2778336525 @default.
- W4308497368 hasConceptScore W4308497368C523546767 @default.
- W4308497368 hasConceptScore W4308497368C54355233 @default.
- W4308497368 hasConceptScore W4308497368C71924100 @default.
- W4308497368 hasConceptScore W4308497368C72563966 @default.
- W4308497368 hasConceptScore W4308497368C86803240 @default.