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Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_22 | Pages 32 - 32
1 Dec 2017
Bicart-Sée A Bouige A Fourcade C Krin G Arnaud S Conte P Félicé M Bonnet E Giordano G Rottman M
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Aim

Pre-operative distinction between prosthetic joint infections (PJI) and non-infectious causes of joint failure is particularly challenging, especially in chronic situations. Guidelines propose different algorithms using numerous preoperative tests. We evaluated place of serology.

Method

During a 9 month period, we included consecutive patients undergoing arthroplasty revision for a suspected chronic hip or knee infection. Serologies were sampled at the same day than the other blood tests. Results were compared with the final diagnosis, determined with peroperative bacteriological and histological results.

Serology was performed using a multiplex antibody detection*. This multiplex antibody detection assay detects antibodies against Staphylococcus species, Propionibacterium acnes and Streptococcus agalactiae.


Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_22 | Pages 6 - 6
1 Dec 2017
Bouige A Fourcade C Bicart-Sée A Félicé M Gautié L Krin G Marlin P Giordano G Bonnet E
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Aim

Ceftobiprole, a broad-spectrum cephalosporin, could be used for post-operative treatment of bone implant-associated infections. The aim of the study is to evaluate the in vitro susceptibility of bacteria isolated from bone implant-associated infections to ceftobiprole.

Method

We conducted an in vitro, retrospective and comparative study between July 2013 to April 2017 including patients with bone implant-associated infections (prosthesis joint infection (PJI) and osteosynthesis material (OM)). To evaluate MIC distribution of ceftobiprole against Gram positive and Gram negative strains and to compare activity of ceftobiprole to vancomycin for Gram positive and ceftriaxone or ceftazidime for Gram negative strains, we tested all strains (stored in Cryobank storage system) for minimal inhibitory concentrations (MIC) determination by E-test bandelet for ceftobiprole and comparator antibiotics.


Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_22 | Pages 82 - 82
1 Dec 2017
Bouige A Fourcade C Bicart-Sée A Félicé M Gautié L Krin G Hascoet JL Marlin P Giordano G Bonnet E
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Aim

Prosthetic joint infections (PJI) due to Enterobacter cloacae are rare and often severe. The aim of this study is to describe cases with E. cloacae PJI.

Method

We conducted a retrospective and a monocentric study in an orthopedic unit where complex bone and joint infections are managed. From 2012 to 2016, we included patients with PJI which perioperative samples were positive with E. cloacae. We collected background, clinical, biological and microbiological data of the current infection, surgical and medical treatment, and the outcome of these patients.