![](/images/graphics-bg.png)
Shoulder Joint Infections with Negative Culture Results: Clinical Characteristics and Treatment Outcomes
Joint Authors
Oh, Hee-Kyun
Abdou, Mohamed Attia
Jo, Ahreum
Choi, Ik-Sun
Iim, Chae-Jin
Park, Hyeng-Kyu
Kim, Sung-Min
Kim, Myung-Sun
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-12
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
The incidence of septic arthritis of the shoulder joint is increasing as the population ages.
The prevalence of shoulder infection is also increasing because of the growing use of arthroscopy and expansion of procedures in the shoulder.
However, cultures do not always identify all microorganisms, even in symptomatic patients.
The incidence of negative cultures ranges from 0% to 25%.
Few studies have reported clinical features and treatment outcomes of culture-negative shoulder infections.
This cohort study addresses culture-negative shoulder joint infections in nonarthroplasty patients.
This study aimed to compare clinical characteristics and treatment outcomes of patients with culture-negative results to those with culture-positive results.
Our hypothesis was that culture-negative infections would have more favorable outcomes than culture-positive infections.
Methods.
We retrospectively reviewed data of 36 patients (17 culture-negative and 19 culture-positive) with shoulder infections between June 2004 and March 2015.
The minimum follow-up duration was 1.2 years (mean, 5 ± 3.8 years; range, 1.2-11 years).
We assessed preoperative demographic data and characteristics, laboratory markers, imaging and functional scores, intraoperative findings, and postoperative findings of both groups.
Results.
Culture-negative patients (17/36, 47.2%) had a significantly lower occurrence of repeated surgical debridement (culture-negative vs.
culture-positive: 1.2 ± 0.4 vs.
2.4 ± 1.7, p = 0.002) without osteomyelitis.
In the multiple logistic regression analysis, the presence of osteomyelitis [odds ratio (OR) = 9.7, 95% confidence interval (CI): 1.0-91.8, p=0.04)] and the number of surgical debridements (OR = 5.3, 95% CI: 1.3-21.6, p=0.02) were significantly associated with culture-positive infections.
Conclusions.
Culture-negative infections without osteomyelitis are less severe than culture-positive infections.
Culture-negative infections can be controlled more easily and are not necessarily a negative prognostic factor for shoulder joint infections.
American Psychological Association (APA)
Abdou, Mohamed Attia& Jo, Ahreum& Choi, Ik-Sun& Iim, Chae-Jin& Park, Hyeng-Kyu& Oh, Hee-Kyun…[et al.]. 2019. Shoulder Joint Infections with Negative Culture Results: Clinical Characteristics and Treatment Outcomes. BioMed Research International،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1124822
Modern Language Association (MLA)
Abdou, Mohamed Attia…[et al.]. Shoulder Joint Infections with Negative Culture Results: Clinical Characteristics and Treatment Outcomes. BioMed Research International No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1124822
American Medical Association (AMA)
Abdou, Mohamed Attia& Jo, Ahreum& Choi, Ik-Sun& Iim, Chae-Jin& Park, Hyeng-Kyu& Oh, Hee-Kyun…[et al.]. Shoulder Joint Infections with Negative Culture Results: Clinical Characteristics and Treatment Outcomes. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1124822
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1124822