Dynamics of skin microbiota in shoulder surgery infections
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Dynamics of skin microbiota in shoulder surgery infections. / Fatima, Naireen; Bjarnsholt, Thomas; Bay, Lene.
In: APMIS, Vol. 129, No. 12, 2021, p. 665-674.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Dynamics of skin microbiota in shoulder surgery infections
AU - Fatima, Naireen
AU - Bjarnsholt, Thomas
AU - Bay, Lene
N1 - Publisher Copyright: © 2021 Scandinavian Societies for Medical Microbiology and Pathology
PY - 2021
Y1 - 2021
N2 - Post-surgical infections arise due to various contributing factors. Most important is the presence of potential pathogenic microorganisms in the skin complemented by the patient´s health status. Cutibacterium acnes is commonly present in the pilosebaceous glands and hair follicle funnels in human skin. After surgical intervention, these highly prevalent, slow-growing bacteria can be found in the deeper tissues and in proximity of implants. C. acnes is frequently implicated in post-surgical infections, often resulting in the need for revision surgery. This review summarizes the current understanding of microbial dynamics in shoulder surgical infections. In particular, we shed light on the contribution of C. acnes to post-surgical shoulder infections as well as their colonization and immune-modulatory potential. Despite being persistently found in post-surgical tissues, C. acnes is often underestimated as a causative organism due to its slow growth and the inefficient detection methods. We discuss the role of the skin environment constituted by microbial composition and host cellular status in influencing C. acnes recolonization potential. Future mapping of the individual skin microbiome in shoulder surgery patients using advanced molecular methods would be a useful approach for determining the risk of post-operative infections.
AB - Post-surgical infections arise due to various contributing factors. Most important is the presence of potential pathogenic microorganisms in the skin complemented by the patient´s health status. Cutibacterium acnes is commonly present in the pilosebaceous glands and hair follicle funnels in human skin. After surgical intervention, these highly prevalent, slow-growing bacteria can be found in the deeper tissues and in proximity of implants. C. acnes is frequently implicated in post-surgical infections, often resulting in the need for revision surgery. This review summarizes the current understanding of microbial dynamics in shoulder surgical infections. In particular, we shed light on the contribution of C. acnes to post-surgical shoulder infections as well as their colonization and immune-modulatory potential. Despite being persistently found in post-surgical tissues, C. acnes is often underestimated as a causative organism due to its slow growth and the inefficient detection methods. We discuss the role of the skin environment constituted by microbial composition and host cellular status in influencing C. acnes recolonization potential. Future mapping of the individual skin microbiome in shoulder surgery patients using advanced molecular methods would be a useful approach for determining the risk of post-operative infections.
KW - Cutibacterium acnes
KW - post-operational infection
KW - Shoulder surgery infection
KW - skin microbiology
KW - surgical site infection
U2 - 10.1111/apm.13185
DO - 10.1111/apm.13185
M3 - Review
C2 - 34587324
AN - SCOPUS:85117919695
VL - 129
SP - 665
EP - 674
JO - A P M I S. Acta Pathologica, Microbiologica et Immunologica Scandinavica
JF - A P M I S. Acta Pathologica, Microbiologica et Immunologica Scandinavica
SN - 0903-4641
IS - 12
ER -
ID: 284197336