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Propionibacterium acnes is a common colonizer of intravascular catheters
Pablo Martín-Rabadán1, Paloma Gijón, Luis Alcalá
1Servicio de Microbiología y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Calle Doctor Esquerdo 46, 28007 Madrid, Spain. pmartinra.hgugm@salud.madrid.org
Abstract:
Propionibacterium spp. are common flora of human skin. Nevertheless, currently recommended culture procedures do not include anaerobic processing with the result that this organism may go undetected on a colonized catheter. To determine the rate of catheter colonization by Propionibacterium spp., a sample of 1000 vascular catheters was processed by the roll-plate technique and, after conventional aerobic processing, all primary culture plates were reincubated in an anaerobic atmosphere. Propionibacterium acnes was detected in significant counts in the vascular catheters of 39 patients. This represents 14.7% (95% CI, 12.5-16.9) of all positive catheters. Propionibacterium is the second most frequent genus-colonizing catheter tips after Staphylococcus spp. Methodological shortcomings impair the detection and proper adscription of P. acnes as a potential cause of catheter-related infections.
Insights
Anaerobic processing is crucial for detecting Propionibacterium spp. on vascular catheters. This common skin bacterium, Propionibacterium acnes, is often missed, impacting infection diagnosis.
Area of Science:
- Microbiology
- Infectious Diseases
- Medical Diagnostics
Background:
- Propionibacterium spp. are common human skin flora.
- Current culture methods for vascular catheters often lack anaerobic processing.
- This omission can lead to the underdetection of Propionibacterium spp. colonization.
Purpose of the Study:
- To determine the prevalence of Propionibacterium spp. colonization on vascular catheters.
- To highlight the impact of anaerobic incubation on detecting these organisms.
Main Methods:
- A total of 1000 vascular catheters were analyzed.
- The roll-plate technique was employed for sample processing.
- Cultures underwent both conventional aerobic and subsequent anaerobic incubation.
Main Results:
- Propionibacterium acnes was detected in significant counts in 39 patients (14.7% of positive catheters).
- Propionibacterium spp. were identified as the second most frequent colonizing genus after Staphylococcus spp.
- Inadequate detection methods may hinder the recognition of P. acnes in catheter-related infections.
Conclusions:
- Standard aerobic culture methods are insufficient for detecting Propionibacterium spp. on catheters.
- Implementing anaerobic processing is essential for accurate identification.
- Improved detection methods are needed to correctly attribute P. acnes as a cause of catheter infections.
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