| Relation between mouth and haematogenous infection in total joint replacements. | |
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MedLine Citation:
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PMID: 8086903 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the source of infections associated with orthopaedic prostheses. DESIGN: Analysis of four infections of prosthetic joints with case records; minimum inhibitory and minimum bactericidal concentrations and sodium dodecylsulphate polyacrylamide gel electrophoresis of the cell wall polypeptides of the Streptococcus sanguis isolates from the mouth and infected prostheses; examination of the patients' mouths for periodontal disease and caries. SUBJECTS: Four adults (three men) aged 58-83. RESULTS: For each patient the strain of S sanguis isolated from the mouth was indistinguishable from that isolated from the prosthesis. All patients had severe periodontal disease and caries. CONCLUSIONS: The mouth was probably the source of bacterial infection in the prosthetic joints of these patients; the route of infection was possibly haematogenous. Incipient oral infection should be treated before joint replacement, and oral health should be maintained indefinitely. |
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Authors:
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C A Bartzokas; R Johnson; M Jane; M V Martin; P K Pearce; Y Saw |
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17368533 - Lack of toxicological side-effects in silver-coated megaprostheses in humans. 8635993 - Infection of the intertubercular bursa in horses: four cases (1978-1991). 12901523 - Occurrence of the lung fluke, paragonimus heterotremus in manipur, india. |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: BMJ (Clinical research ed.) Volume: 309 ISSN: 0959-8138 ISO Abbreviation: BMJ Publication Date: 1994 Aug 20-27 |
Date Detail:
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Created Date: 1994-10-20 Completed Date: 1994-10-20 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 8900488 Medline TA: BMJ Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 506-8 Citation Subset: AIM; IM |
Affiliation:
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Wirral Hospital NHS Trust, Wirral, Merseyside. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Bacterial Typing Techniques Electrophoresis, Polyacrylamide Gel Female Hip Prosthesis Humans Joint Prosthesis* Knee Prosthesis Male Microbial Sensitivity Tests Middle Aged Mouth / microbiology* Periodontal Diseases / microbiology Prosthesis-Related Infections / microbiology*, transmission Streptococcal Infections / microbiology*, transmission Streptococcus sanguis / isolation & purification* |
| Comments/Corrections | |
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