Unnecessary Routine Use of Mycobacterial Cultures in Patients With Periprosthetic Joint Infections

Author:

Golden Marjorie1ORCID,Moffarah Anne Spichler1,Kerantzas Christopher2ORCID,Rubin Lee3,O’Bryan Jane45

Affiliation:

1. Section of Infectious Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA

2. Department of Laboratory Medicine, Yale New Haven Hospital, New Haven, Connecticut, USA

3. Section of Department of Orthopedics and Rehabilitation, Center for Musculoskeletal Care, Yale University School of Medicine, Yale New Haven Health, New Haven, Connecticut, USA

4. Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut, USA

5. Frank H. Netter MD School of Medicine at Quinnipiac University, North Haven, Connecticut, USA

Abstract

Abstract Accurate diagnosis ensures appropriate therapy of periprosthetic joint infection (PJI). Since mycobacterial PJI is rare, routine testing is inappropriate. We reviewed hip and knee PJI at our institution over 28 months. Mycobacterial cultures were routinely sent with rare positivity. Mycobacterial cultures should be sent only when there is clinical suspicion.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

Reference19 articles.

1. Enhancing physicians’ use of clinical guidelines.;Pronovost;JAMA,2013

2. Prosthetic joint infection.;Tande;Clin Microbiol Rev,2014

3. Prosthetic joint infection due to Mycobacterium tuberculosis: a case series and review of the literature.;Berbari;Am J Orthop,1998

4. Prosthetic joint infection due to rapidly growing mycobacteria: report of 8 cases and review of the literature.;Eid;Clin Infect Dis,2007

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