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Tan C, Howard JL, Bondy L. Prosthetic joint infection after total hip arthroplasty caused by Lactobacillus paracasei. CMAJ 2021; 192:E1357-E1360. [PMID: 33139424 DOI: 10.1503/cmaj.201106] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Affiliation(s)
- Charlie Tan
- Division of Infectious Diseases (Tan), University of Toronto, Toronto, Ont.; Division of Orthopaedic Surgery (Howard), Western University; Division of Infectious Diseases (Bondy), St. Joseph's Health Care, London, Ont.
| | - James L Howard
- Division of Infectious Diseases (Tan), University of Toronto, Toronto, Ont.; Division of Orthopaedic Surgery (Howard), Western University; Division of Infectious Diseases (Bondy), St. Joseph's Health Care, London, Ont
| | - Lise Bondy
- Division of Infectious Diseases (Tan), University of Toronto, Toronto, Ont.; Division of Orthopaedic Surgery (Howard), Western University; Division of Infectious Diseases (Bondy), St. Joseph's Health Care, London, Ont
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Tan C, Howard JL, Bondy L. Infection à Lactobacillus paracasei d’une prothèse totale de la hanche. CMAJ 2021; 193:E74-E77. [PMID: 33431553 PMCID: PMC7773043 DOI: 10.1503/cmaj.201106-f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Charlie Tan
- Division d'infectiologie (Tan), Université de Toronto, Toronto (Ontario); Division de chirurgie orthopédique (Howard), Université Western; Division d'infectiologie (Bondy), Centre de soins de santé St. Joseph, London (Ontario).
| | - James L Howard
- Division d'infectiologie (Tan), Université de Toronto, Toronto (Ontario); Division de chirurgie orthopédique (Howard), Université Western; Division d'infectiologie (Bondy), Centre de soins de santé St. Joseph, London (Ontario)
| | - Lise Bondy
- Division d'infectiologie (Tan), Université de Toronto, Toronto (Ontario); Division de chirurgie orthopédique (Howard), Université Western; Division d'infectiologie (Bondy), Centre de soins de santé St. Joseph, London (Ontario)
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Jeyanathan A, Ramalhete R, Blunn G, Gibbs H, Pumilia CA, Meckmongkol T, Lovejoy J, Coathup MJ. Lactobacillus cell-free supernatant as a novel bioagent and biosurfactant against Pseudomonas aeruginosa in the prevention and treatment of orthopedic implant infection. J Biomed Mater Res B Appl Biomater 2021; 109:1634-1643. [PMID: 33634961 DOI: 10.1002/jbm.b.34821] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 01/13/2021] [Accepted: 02/14/2021] [Indexed: 01/09/2023]
Abstract
The hypothesis was that probiotic Lactobacillus species (spp.) or their cell-free supernatant (CFS) are effective in inhibiting (a) planktonic growth of Pseudomonas aeruginosa (PA), (b) its adhesion to a Ti6Al4V-alloy surface, and (c) in dispersing biofilm once formed. (a) A planktonic co-culture containing PA(104 colony-forming unit [CFU]/ml) was combined with either Lactobacillus acidophilus, Lactobacillus plantarum (LP), or Lactobacillus fermentum (LF) at a suspension of 104 (1:1) or 108 CFU/ml (1:2). Lactobacillus and PA CFUs were then quantified. (b) Ti-6Al-4V discs were inoculated with PA followed by supplementation with CFS and adherent PA quantified. (c) Biofilm covered discs were supplemented with Lactobacillus CFS and remaining PA activity quantified. Results showed that whole-cell cultures were ineffective in preventing PA growth; however, the addition of CFS resulted in a 99.99 ± 0.003% reduction in adherent PA in all Lactobacillus groups (p < .05 in all groups) with no viable PA growth measured in the LF and LP groups. Following PA biofilm formation, CFS resulted in a significant reduction in PA activity in all Lactobacillus groups (p ≤ .05 in all groups) with a 29.75 ± 15.98% increase measured in control samples. Supplementation with CFS demonstrated antiadhesive, antibiofilm, and toxic properties to PA.
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Affiliation(s)
- Augustina Jeyanathan
- Institute of Orthopaedics and Musculoskeletal Science, Division of Surgery and Interventional Science, Royal National Orthopaedic Hospital, University College London, Stanmore, UK
| | - Rita Ramalhete
- Institute of Orthopaedics and Musculoskeletal Science, Division of Surgery and Interventional Science, Royal National Orthopaedic Hospital, University College London, Stanmore, UK
| | - Gordon Blunn
- Institute of Orthopaedics and Musculoskeletal Science, Division of Surgery and Interventional Science, Royal National Orthopaedic Hospital, University College London, Stanmore, UK.,School of Pharmacy and Biomedical Sciences, University of Portsmouth, Portsmouth, UK
| | - Hannah Gibbs
- Biionix (Bionic Materials, Implants & Interfaces) Cluster, Department of Internal Medicine, College of Medicine, University of Central Florida, Orlando, Florida, USA
| | - Cyrus Anthony Pumilia
- Biionix (Bionic Materials, Implants & Interfaces) Cluster, Department of Internal Medicine, College of Medicine, University of Central Florida, Orlando, Florida, USA
| | - Teerin Meckmongkol
- Biionix (Bionic Materials, Implants & Interfaces) Cluster, Department of Internal Medicine, College of Medicine, University of Central Florida, Orlando, Florida, USA.,Department of General Surgery, Nemours Children's Hospital, Orlando, Florida, USA
| | - John Lovejoy
- Biionix (Bionic Materials, Implants & Interfaces) Cluster, Department of Internal Medicine, College of Medicine, University of Central Florida, Orlando, Florida, USA.,Department of Orthopaedics, Sports Medicine and Physical Medicine and Rehabilitation, Nemours Children's Hospital, Orlando, Florida, USA
| | - Melanie J Coathup
- Institute of Orthopaedics and Musculoskeletal Science, Division of Surgery and Interventional Science, Royal National Orthopaedic Hospital, University College London, Stanmore, UK.,Biionix (Bionic Materials, Implants & Interfaces) Cluster, Department of Internal Medicine, College of Medicine, University of Central Florida, Orlando, Florida, USA
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de Seynes C, Dutronc H, Cremer P, Dupon M. Lactobacillus casei prosthetic joint infection. Med Mal Infect 2018; 48:422-423. [PMID: 29861314 DOI: 10.1016/j.medmal.2018.04.390] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2017] [Revised: 03/14/2018] [Accepted: 04/06/2018] [Indexed: 11/17/2022]
Affiliation(s)
- C de Seynes
- Service de maladies infectieuses et tropicales, 33000 Bordeaux, France; Service de chirurgie orthopédique, 33000 Bordeaux, France; CRIOAC, CHU de Bordeaux, place Amélie Raba-Léon, 33000 Bordeaux, France.
| | - H Dutronc
- Service de maladies infectieuses et tropicales, 33000 Bordeaux, France; Service de chirurgie orthopédique, 33000 Bordeaux, France; CRIOAC, CHU de Bordeaux, place Amélie Raba-Léon, 33000 Bordeaux, France
| | - P Cremer
- Service de chirurgie orthopédique, 33000 Bordeaux, France; CRIOAC, CHU de Bordeaux, place Amélie Raba-Léon, 33000 Bordeaux, France
| | - M Dupon
- Service de maladies infectieuses et tropicales, 33000 Bordeaux, France; Service de chirurgie orthopédique, 33000 Bordeaux, France; CRIOAC, CHU de Bordeaux, place Amélie Raba-Léon, 33000 Bordeaux, France
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Somayaji R, Lynch T, Powell JN, Gregson D. Remote transient Lactobacillus animalis bacteremia causing prosthetic hip joint infection: a case report. BMC Infect Dis 2016; 16:634. [PMID: 27814684 PMCID: PMC5097402 DOI: 10.1186/s12879-016-1980-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2015] [Accepted: 10/27/2016] [Indexed: 12/20/2022] Open
Abstract
Background Lactobacillus spp. are uncommon pathogens in immunocompetent hosts, and even rarer causes of prosthetic device infections. Case presentation A case of chronic hip prosthetic joint infection (PJI) caused by L. animalis is described. This occurred 5 years after a transient bacteremia with the same organism. Whole genome sequencing of both isolates proved this PJI infection resulted from this remote bacteremia. Conclusions We document that prosthetic joint infections may be a consequence of bacteremia as much as 3 years before the onset of symptoms.
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Affiliation(s)
- R Somayaji
- Departments of Medicine, University of Calgary, Calgary, AB, Canada
| | - T Lynch
- Pathology and Laboratory Medicine, University of Calgary, Calgary, AB, Canada
| | - J N Powell
- Surgery, University of Calgary, Calgary, AB, Canada
| | - D Gregson
- Departments of Medicine, University of Calgary, Calgary, AB, Canada. .,Pathology and Laboratory Medicine, University of Calgary, Calgary, AB, Canada.
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Identification of silent prosthetic joint infection: preliminary report of a prospective controlled study. INTERNATIONAL ORTHOPAEDICS 2013; 37:2037-43. [PMID: 23775450 PMCID: PMC3779574 DOI: 10.1007/s00264-013-1955-9] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2013] [Accepted: 05/22/2013] [Indexed: 12/21/2022]
Abstract
Purpose We will test the hypothesis that ultrasound supported by polymerase chain reaction (PCR) could improve bacterial identification in non-infected prosthetic joint loosening. The aim was to detect bacterial species in non-infected prosthetic joint loosening using ultrasound and 16S rRNA gene sequencing. Methods A total of 16 patients (11 women and five men) aged 46–80 years (mean age 65.7) with diagnosed knee or hip implant loosening (mean implant survival of 102.1 months) were investigated. Bacterial culture and DNA sequencing were used to detect bacteria on the surface of failed implants removed during revision arthroplasty. The results of pre- and intraoperative culture and DNA sequencing were compared. Histopathological analysis was also performed. Results The number of positive cultures rises with a higher level of C-reactive protein (CRP). The results of the cultures from synovial fluid obtained through joint aspiration were consistent with sonicates from components of prostheses in 12 cases (75 %). Bacterial DNA was found in 90 % of patients with negative synovial fluid culture. PCR revealed two or more bacterial species, often of the same genus: Ralstonia pickettii, Pseudomonas spp., Brevibacterium spp., Lactobacillus spp., Propionibacterium spp. and Staphylococcus spp.These are micro-organisms present in the environment or on the human body and often associated with compromised immunity. Conclusions The ultrasound procedure followed by PCR and sequencing improve bacterial identification in silent prosthetic joint infection. The lack of clinical signs of infection and negative preoperative and intraoperative cultures do not exclude the presence of micro-organisms on the implants.
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