TABLE 2.
Bacteria detected from culture-positive retrieved prosthetic hip implants by culture, IFM, and bacterial 16S rRNA gene detection and associated tissue inflammatory response
| Sample no. | Bacterium(a) isolated | Tissue infiltration by inflammatory cells (score)a
|
IFM result
|
16S rRNA gene detection | |||
|---|---|---|---|---|---|---|---|
| PMNb | LYMc | MACd | Morphology | Scoree | |||
| 1 | S. epidermidis | 1 | 1 | 2 | Cocci | 3 | + |
| 2 | S. epidermidis | 2 | 1 | 3 | Cocci | 3 | + |
| 3 | S. aureus | 0 | 1 | 0 | Cocci | 2 | + |
| 4 | S. capitis | 0 | 0 | 1 | Cocci | 1 | + |
| 5 | S. epidermidis | 0 | 1 | 2 | Cocci and P. acnes | 2 | + |
| 6 | S. hominis | 0 | 1 | 2 | Cocci and P. acnes | 1 | + |
| 7 | S. epidermidis | 1 | 1 | 3 | P. acnes | 2 | + |
| 8 | S. epidermidis and S. hominis | 0 | 2 | 3 | Cocci | 2 | + |
| 9 | S. epidermidis and S. hominis | 1 | 2 | 3 | Cocci | 2 | + |
| 10 | S. epidermidis and S. capitis | 2 | 2 | 2 | Cocci and P. acnes | 1 | + |
| 11 | P. acnes | 2 | 2 | 3 | P. acnes | 1 | + |
| 12 | P. acnes | 1 | 1 | 1 | P. acnes | 1 | + |
| 13 | P. acnes | NSf | NS | NS | P. acnes | 3 | + |
| 14 | P. acnes | 0 | 2 | 3 | Cocci and P. acnes | 2 | + |
| 15 | P. acnes | 0 | 1 | 2 | Cocci and P. acnes | 2 | + |
| 16 | P. acnes | 2 | 2 | 3 | Cocci and P. acnes | 1 | + |
| 17 | P. acnes | NS | NS | NS | Cocci and P. acnes | 3 | + |
| 18 | P. acnes | NS | NS | NS | Cocci and P. acnes | 3 | + |
| 19 | P. acnes | NS | NS | NS | Cocci and P. acnes | 1 | + |
| 20 | P. acnes | NS | NS | NS | Cocci and P. acnes | 1 | + |
| 21 | P. acnes | NS | NS | NS | Cocci and P. acnes | 1 | + |
| 22 | P. acnes | 0 | 1 | 2 | NDg | ND | + |
| 23 | S. haemolyticus and P. acnes | 1 | 1 | 1 | Cocci and P. acnes | 1 | + |
| 24 | Micrococcus sp. and P. acnes | 1 | 2 | 3 | Cocci and P. acnes | 1 | + |
| 25 | S. epidermidis and P. acnes | NS | NS | NS | Cocci | 1 | + |
Number of inflammatory cells per high-power field: 0, no cells; 1, 1 to 10 cells; 2, 10 to 20 cells; 3, 20 or more cells.
PMN, polymorphonuclear leukocyte.
LYM, lymphocyte.
MAC, tissue macrophage.
Number of bacteria per well: 0, no bacteria; 1, 1 to 10 bacteria; 2, 10 to 50 bacteria; 3, 50 or more bacteria.
NS, not suitable for histological examination.
ND, not done due to insufficient sample volume.