The State of Microbiology Diagnostic of Prosthetic Joint Infection in Europe: An In-Depth Survey Among Clinical Microbiologists
BackgroundThis study aims to give an overview on how microbiology diagnosis tests of Prosthetic joint infections (PJI) is performed in Europe, and to explore whether any factor influences the decision on implementing a test.MethodsAn extensive online survey of clinical microbiologists from seven Eur...
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| Language: | English |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Microbiology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmicb.2022.906989/full |
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| author | Erlangga Yusuf Charlotte Roschka Jaime Esteban Annibale Raglio Anna Tisler Philippe Willems Tobias Siegfried Kramer Tobias Siegfried Kramer |
| author_facet | Erlangga Yusuf Charlotte Roschka Jaime Esteban Annibale Raglio Anna Tisler Philippe Willems Tobias Siegfried Kramer Tobias Siegfried Kramer |
| author_sort | Erlangga Yusuf |
| collection | DOAJ |
| description | BackgroundThis study aims to give an overview on how microbiology diagnosis tests of Prosthetic joint infections (PJI) is performed in Europe, and to explore whether any factor influences the decision on implementing a test.MethodsAn extensive online survey of clinical microbiologists from seven European countries (Belgium, Estonia, Germany, Italy, Netherlands, Switzerland, and Spain). Following items were assessed: (i). general information on the laboratory, (ii) preference of the laboratory and clinical microbiologists regarding samples, (iii) transportation and (iv) processing of explanted foreign bodies and tissues and synovial fluid, (v) culture media and culture duration, (vi) reporting (identification and susceptibility testing), and (vii) use of molecular microbiology techniques.ResultsInvited were 163 clinical microbiologists. The response rate from each country was above 50% (range 51–78%), except for Germany (36%). Frequent PJI diagnostics were the use of tissue pre-processing (58.1%), culturing synovial fluid in blood culture bottles (45.5%), use of sonication for processing explanted prosthesis (56.8%), reporting the presence of synovial leukocyte counts (67%), use of blood aerobic and anaerobic agar (97.7%), and enrichment media thioglycolate (69.3%). The most common incubation time of the culture media is 7–14 days (34.1–70.5%). The clinicians were called to report the culture results (80.7%), and to give antibiotic recommendation (67%).ConclusionThere are common practices in processing PJI samples and reporting results, which is promising for harmonization of PJI diagnostic in the future. However, variation in diagnostic tests should also be considered in interpreting and comparing clinical microbiology results. |
| first_indexed | 2024-04-13T16:44:49Z |
| format | Article |
| id | doaj.art-a694d3c2ca704dc5acd86176856ab182 |
| institution | Directory Open Access Journal |
| issn | 1664-302X |
| language | English |
| last_indexed | 2024-04-13T16:44:49Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Microbiology |
| spelling | doaj.art-a694d3c2ca704dc5acd86176856ab1822022-12-22T02:39:07ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2022-06-011310.3389/fmicb.2022.906989906989The State of Microbiology Diagnostic of Prosthetic Joint Infection in Europe: An In-Depth Survey Among Clinical MicrobiologistsErlangga Yusuf0Charlotte Roschka1Jaime Esteban2Annibale Raglio3Anna Tisler4Philippe Willems5Tobias Siegfried Kramer6Tobias Siegfried Kramer7Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, NetherlandsInstitute of Hygiene and Environmental Medicine, Charité-Berlin University of Medicine, Berlin, GermanyClinical Microbiology Department, IIS-Fundación Jiménez Díaz Foundation Health Research Institute, Universidad Autónoma de Madrid, Madrid, SpainUnit of Microbiology and Virology, ASST Papa Giovanni XXIII, Bergamo, ItalyInstitute of Family Medicine and Public Health, University of Tartu, Tartu, EstoniaDepartment of Microbiology, GZA Hospitals, Antwerp, BelgiumInstitute of Hygiene and Environmental Medicine, Charité-Berlin University of Medicine, Berlin, GermanyADR Laboratory Group Dr. Kramer & Colleagues, Geesthacht, GermanyBackgroundThis study aims to give an overview on how microbiology diagnosis tests of Prosthetic joint infections (PJI) is performed in Europe, and to explore whether any factor influences the decision on implementing a test.MethodsAn extensive online survey of clinical microbiologists from seven European countries (Belgium, Estonia, Germany, Italy, Netherlands, Switzerland, and Spain). Following items were assessed: (i). general information on the laboratory, (ii) preference of the laboratory and clinical microbiologists regarding samples, (iii) transportation and (iv) processing of explanted foreign bodies and tissues and synovial fluid, (v) culture media and culture duration, (vi) reporting (identification and susceptibility testing), and (vii) use of molecular microbiology techniques.ResultsInvited were 163 clinical microbiologists. The response rate from each country was above 50% (range 51–78%), except for Germany (36%). Frequent PJI diagnostics were the use of tissue pre-processing (58.1%), culturing synovial fluid in blood culture bottles (45.5%), use of sonication for processing explanted prosthesis (56.8%), reporting the presence of synovial leukocyte counts (67%), use of blood aerobic and anaerobic agar (97.7%), and enrichment media thioglycolate (69.3%). The most common incubation time of the culture media is 7–14 days (34.1–70.5%). The clinicians were called to report the culture results (80.7%), and to give antibiotic recommendation (67%).ConclusionThere are common practices in processing PJI samples and reporting results, which is promising for harmonization of PJI diagnostic in the future. However, variation in diagnostic tests should also be considered in interpreting and comparing clinical microbiology results.https://www.frontiersin.org/articles/10.3389/fmicb.2022.906989/fullprosthetic joint infectionclinical microbiologyculturesynovial fluidsonicationreporting |
| spellingShingle | Erlangga Yusuf Charlotte Roschka Jaime Esteban Annibale Raglio Anna Tisler Philippe Willems Tobias Siegfried Kramer Tobias Siegfried Kramer The State of Microbiology Diagnostic of Prosthetic Joint Infection in Europe: An In-Depth Survey Among Clinical Microbiologists Frontiers in Microbiology prosthetic joint infection clinical microbiology culture synovial fluid sonication reporting |
| title | The State of Microbiology Diagnostic of Prosthetic Joint Infection in Europe: An In-Depth Survey Among Clinical Microbiologists |
| title_full | The State of Microbiology Diagnostic of Prosthetic Joint Infection in Europe: An In-Depth Survey Among Clinical Microbiologists |
| title_fullStr | The State of Microbiology Diagnostic of Prosthetic Joint Infection in Europe: An In-Depth Survey Among Clinical Microbiologists |
| title_full_unstemmed | The State of Microbiology Diagnostic of Prosthetic Joint Infection in Europe: An In-Depth Survey Among Clinical Microbiologists |
| title_short | The State of Microbiology Diagnostic of Prosthetic Joint Infection in Europe: An In-Depth Survey Among Clinical Microbiologists |
| title_sort | state of microbiology diagnostic of prosthetic joint infection in europe an in depth survey among clinical microbiologists |
| topic | prosthetic joint infection clinical microbiology culture synovial fluid sonication reporting |
| url | https://www.frontiersin.org/articles/10.3389/fmicb.2022.906989/full |
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