Orthopedic Implant-Associated and Central Venous Catheter-Associated Infections Caused by spp. in the Veterans Affairs Healthcare System from 2000 to 2020.

Twardy BS, Yasmin M, Bej T, Wera GD, Marshall SH, Rojas LJ, Bonomo RA, Jump RLP. Orthopedic Implant-Associated and Central Venous Catheter-Associated Infections Caused by spp. in the Veterans Affairs Healthcare System from 2000 to 2020. Surgical Infections. 2022 Feb 1; 23(1):84-88.

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Abstract:

A 72-year-old male developed a late-onset infection of an internal fixation device caused by Although often considered contaminants, bacteria from the genus may also be pathogens. We also summarize cases from the Veteran Health Administration (VHA) from which isolates were recovered and review the relevant literature. Using the national VHA database, we identified patients with cultures that grew spp. We also review published clinical reports describing spp. as a cause of infections. Between January 2000 and September 2020, 18 cases had spp. Of those, isolates were regarded as pathogens for seven cases; all involved prosthetic material that was consequently removed. Two patients had internal fixation devices whereas the remaining five were patients with a central venous catheter. For patients with prosthetic material, recovery of spp. from device-related clinical cultures should prompt consideration of device removal when possible.