caa a22 4500 477071546 CHVBK 20180405111427.0 cr unu---uuuuu 170330e19960201xx s 000 0 eng 10.1007/BF01591491 doi (NATIONALLICENCE)springer-10.1007/BF01591491 A four-year prospective study on microbial ecology of explanted prosthetic hips in 52 patients with "aseptic” prosthetic joint loosening [Elektronische Daten] [F. Perdreau-Remington, D. Stefanik, G. Peters, C. Ludwig, J. Riitt, R. Wenzel, G. Pulverer] The bacteriology of explanted prosthetic hips and surrounding soft tissue was studied in 52 patients undergoing surgical revision for joint loosening. In a prospective four-year study, positive bacterial cultures were recorded in 34 (76%) patients. Coagulase-negative staphylococci were the predominant isolates, and 11 patients (33%) had more than three organisms isolated, 7 (20%) had two only, and 11 (33%) had one species. Among the 23 patients from whom specimens from all 11 predetermined anatomic sites were cultured, the highest frequency of positive cultures (52% and 47%) came from the shaft and capsular tissue, respectively. Organisms were less frequently recovered from the cement and acetabulum (13% and 4%, respectively). Using molecular typing in eight patients with paired isolates of the same species, clonal identity was found in four. An additional patient underwent a second revision for loosening 17 months after the first revision and the same clone ofStaphylococcus epidermidis was isolated on both occasions. MMV Medizin Verlag GmbH Munchen, 1996 Perdreau-Remington F. Institute of Medical Microbiology and Hygiene, University of Cologne, Goldenfelsstraße 19-21, 50935, Cologne, Germany aut Stefanik D. Institute of Medical Microbiology and Hygiene, University of Cologne, Goldenfelsstraße 19-21, 50935, Cologne, Germany aut Peters G. Orthopedic Department, University of Cologne, Goldenfelsstraße 19-21, 50935, Cologne, Germany aut Ludwig C. Institute of Medical Microbiology, University of Münster, Münster, Germany aut Riitt J. Institute of Medical Microbiology, University of Münster, Münster, Germany aut Wenzel R. Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, Iowa, USA aut Pulverer G. Institute of Medical Microbiology and Hygiene, University of Cologne, Goldenfelsstraße 19-21, 50935, Cologne, Germany aut European Journal of Clinical Microbiology and Infectious Diseases Springer-Verlag 15/2(1996-02-01), 160-165 0934-9723 15:2<160 1996 15 10096 https://doi.org/10.1007/BF01591491 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01591491 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Perdreau-Remington F. Institute of Medical Microbiology and Hygiene, University of Cologne, Goldenfelsstraße 19-21, 50935, Cologne, Germany aut NATIONALLICENCE 700 1- Stefanik D. Institute of Medical Microbiology and Hygiene, University of Cologne, Goldenfelsstraße 19-21, 50935, Cologne, Germany aut NATIONALLICENCE 700 1- Peters G. Orthopedic Department, University of Cologne, Goldenfelsstraße 19-21, 50935, Cologne, Germany aut NATIONALLICENCE 700 1- Ludwig C. Institute of Medical Microbiology, University of Münster, Münster, Germany aut NATIONALLICENCE 700 1- Riitt J. Institute of Medical Microbiology, University of Münster, Münster, Germany aut NATIONALLICENCE 700 1- Wenzel R. Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, Iowa, USA aut NATIONALLICENCE 700 1- Pulverer G. Institute of Medical Microbiology and Hygiene, University of Cologne, Goldenfelsstraße 19-21, 50935, Cologne, Germany aut NATIONALLICENCE 773 0- European Journal of Clinical Microbiology and Infectious Diseases Springer-Verlag 15/2(1996-02-01), 160-165 0934-9723 15:2<160 1996 15 10096 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer