TABLE 2.
Microbial species involved in the infected casesa
| Microbial species | All sites (n = 176)b | Hip (n = 99) | Knee (n = 64) | Shoulder (n = 13) |
|---|---|---|---|---|
| Staphylococcus species | ||||
| S. aureus | 58 (33) | 33 (33.3) | 22 (34.4) | 3 (23.1) |
| S. epidermidis | 39 (22.2) | 22 (22.2) | 14 (21.9) | 3 (23.1) |
| S. lugdunensis | 9 (5.1) | 3 (3) | 6 (9.4) | 0 |
| S. capitis | 7 (4) | 5 (5) | 2 (3.1) | 0 |
| S. caprae | 1 (0.6) | 1 (1) | 0 | 0 |
| S. haemolyticus | 1 (0.6) | 0 | 1 (1.6) | 0 |
| S. hominis | 1 (0.6) | 1 (1) | 0 | 0 |
| S. xylosus | 1 (0.6) | 0 | 1 (1.6) | 0 |
| Staphylococcus sp. | 0 | 0 | 0 | 0 |
| Streptococcus species | ||||
| S. agalactiae | 8 (4.5) | 3 (3) | 4 (6.2) | 1 (8) |
| S. bovis | 1 (0.6) | 0 | 1 | 0 |
| S. dysgalactiae | 1 (0.6) | 1 (1) | 0 | 0 |
| S. oralis | 2 (1.1) | 0 | 2 (3.1) | 0 |
| S. pneumoniae | 2 (1.1) | 1 | 0 | 1 (8) |
| S. sanguinis | 1 (0.6) | 1 (1) | 0 | 0 |
| Propionibacterium species | ||||
| P. acnes | 13 (7.4) | 6 (6.1) | 2 (3.1) | 5 (38.5)c |
| P. avidum | 3 (1.7) | 2 (2) | 0 | 1 (8) |
| Other bacterial species | ||||
| Acinetobacter ursingii | 1 (0.6) | 0 | 1 (1.6) | 0 |
| Anaerococcus hydrogenalis | 1 (0.6) | 0 | 1 (1.6) | 0 |
| Corynebacterium striatum | 3 (1.7) | 2 (2) | 1 (1.6) | 0 |
| Enterobacter cloacae | 8 (4.5) | 6 (6.1) | 2 (3.1) | 0 |
| Enterococcus faecalis | 13 (7.4) | 10 (10.1) | 2 (3.1) | 1 (8) |
| Enterococcus faecium | 2 (1.1) | 1 (1) | 1 (1.6) | 0 |
| Escherichia coli | 6 (3.4) | 6 (6.1) | 0 | 0 |
| Finegoldia magna | 4 (2.3) | 2 (2) | 1 (1.6) | 1 (8) |
| Granulicatella adjacens | 1 (0.6) | 1 (1) | 0 | 0 |
| Klebsiella pneumoniae | 2 (1.1) | 2 (2) | 0 | 0 |
| Morganella morganii | 1 (0.6) | 1 (1) | 0 | 0 |
| Peptoniphilus harei | 2 (1.1) | 1 (1) | 1 (1.6) | 0 |
| Pseudomonas aeruginosa | 5 (2.8) | 2 (2) | 3 (4.7) | 0 |
| Salmonella sp. | 2 (1.1) | 2 (1) | 0 | 0 |
| Fungal species | ||||
| Candida albicans | 1 (0.6) | 0 | 1 (1.6) | 0 |
Microbial species recovered from at least one intraoperative sample (virulent organisms) or from at least two intraoperative samples (nonvirulent organisms). Data are number (%) of cases; the percentage represents the proportion of all infected cases, culture-proven or not.
Nine infections with sinus tracts were associated with negative (n = 7) or nonsignificant (n = 2) microbiological cultures.
P. acnes was found significantly more frequently in the shoulder than in the hip (P = 0.0001) or knee (P = 0.0002).