Bacterial Extracellular DNA Production Is Associated with Outcome of Prosthetic Joint Infections

In a retrospective study the association of the production of extracellular DNA (eDNA) in biofilms of clinical staphylococcal isolates from 60 patients with prosthetic joint infection (PJI) and the clinical outcome were investigated. Data from a previous study on eDNA production determined in 24-hou...

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Veröffentlicht in:BioMed research international 2018-01, Vol.2018 (2018), p.1-6
Hauptverfasser: Presterl, Elisabeth, Segagni Lusignani, Luigi, Haffner, Nicolas, Arciola, Carla Renata, Zatorska, Beata, Diab-Elschahawi, Magda
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container_issue 2018
container_start_page 1
container_title BioMed research international
container_volume 2018
creator Presterl, Elisabeth
Segagni Lusignani, Luigi
Haffner, Nicolas
Arciola, Carla Renata
Zatorska, Beata
Diab-Elschahawi, Magda
description In a retrospective study the association of the production of extracellular DNA (eDNA) in biofilms of clinical staphylococcal isolates from 60 patients with prosthetic joint infection (PJI) and the clinical outcome were investigated. Data from a previous study on eDNA production determined in 24-hour biofilms of staphylococcal isolates (Staphylococcus aureus n=30, Staphylococcus epidermidis n=30) was correlated with the patients’ clinical outcome after 3 and 12 months. Statistical analysis was performed using either the Spearman’s rank correlations test or the t-test. eDNA production of S. epidermidis in 24-hour biofilms correlated with the patients’ outcome ‘not cured‘ after 12 months. For S. aureus no such correlation was detected. Thus, eDNA may be a virulence factor of S. epidermidis. Quantification of eDNA production as a surrogate marker for biofilm formation might be a potential predictive marker for the management of PJI.
doi_str_mv 10.1155/2018/1067413
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Data from a previous study on eDNA production determined in 24-hour biofilms of staphylococcal isolates (Staphylococcus aureus n=30, Staphylococcus epidermidis n=30) was correlated with the patients’ clinical outcome after 3 and 12 months. Statistical analysis was performed using either the Spearman’s rank correlations test or the t-test. eDNA production of S. epidermidis in 24-hour biofilms correlated with the patients’ outcome ‘not cured‘ after 12 months. For S. aureus no such correlation was detected. Thus, eDNA may be a virulence factor of S. epidermidis. Quantification of eDNA production as a surrogate marker for biofilm formation might be a potential predictive marker for the management of PJI.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2018/1067413</identifier><identifier>PMID: 30426000</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adolescent ; Adult ; Age ; Aged ; Aged, 80 and over ; Analysis ; Antibiotics ; Antimicrobial agents ; Bacteria ; Bacterial genetics ; Biofilms ; Bone surgery ; Chemotherapy ; Classification ; Clinical outcomes ; Comorbidity ; Deoxyribonucleic acid ; DNA ; DNA, Bacterial - metabolism ; Drug resistance ; Environmental DNA ; Female ; Humans ; Implants, Artificial ; Infections ; Joint diseases ; Joint Prosthesis - microbiology ; Joint surgery ; Male ; Methicillin ; Middle Aged ; Mupirocin ; Pathogens ; Patient outcomes ; Patients ; Prostheses ; Prosthesis ; Rankings ; Retrospective Studies ; Staphylococcal Infections - metabolism ; Staphylococcus aureus ; Staphylococcus aureus - isolation &amp; purification ; Staphylococcus aureus - pathogenicity ; Staphylococcus aureus - physiology ; Staphylococcus aureus infections ; Staphylococcus epidermidis ; Staphylococcus epidermidis - isolation &amp; purification ; Staphylococcus epidermidis - pathogenicity ; Staphylococcus epidermidis - physiology ; Staphylococcus infections ; Statistical analysis ; Tetracycline ; Tetracyclines ; Virulence ; Virulence factors ; Virulence Factors - metabolism</subject><ispartof>BioMed research international, 2018-01, Vol.2018 (2018), p.1-6</ispartof><rights>Copyright © 2018 Beata Zatorska et al.</rights><rights>COPYRIGHT 2018 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2018 Beata Zatorska et al. 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subjects Adolescent
Adult
Age
Aged
Aged, 80 and over
Analysis
Antibiotics
Antimicrobial agents
Bacteria
Bacterial genetics
Biofilms
Bone surgery
Chemotherapy
Classification
Clinical outcomes
Comorbidity
Deoxyribonucleic acid
DNA
DNA, Bacterial - metabolism
Drug resistance
Environmental DNA
Female
Humans
Implants, Artificial
Infections
Joint diseases
Joint Prosthesis - microbiology
Joint surgery
Male
Methicillin
Middle Aged
Mupirocin
Pathogens
Patient outcomes
Patients
Prostheses
Prosthesis
Rankings
Retrospective Studies
Staphylococcal Infections - metabolism
Staphylococcus aureus
Staphylococcus aureus - isolation & purification
Staphylococcus aureus - pathogenicity
Staphylococcus aureus - physiology
Staphylococcus aureus infections
Staphylococcus epidermidis
Staphylococcus epidermidis - isolation & purification
Staphylococcus epidermidis - pathogenicity
Staphylococcus epidermidis - physiology
Staphylococcus infections
Statistical analysis
Tetracycline
Tetracyclines
Virulence
Virulence factors
Virulence Factors - metabolism
title Bacterial Extracellular DNA Production Is Associated with Outcome of Prosthetic Joint Infections
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