Cutibacterium acnes is involved in nearly 40% of shoulder prosthetic joint infections (PJI). After shoulder prothesis, C. acnes mainly affects hip prosthesis. One recent work from the Lyon (France) bone and joint infections reference center with data focusing mainly on hip and knee PJI has reported that C. acnes is the leading cause of late-onset PJI after coagulase negative staphylococci (CNS) (late acute PJI not considered). In such late-onset device-related infection, biofilm, as produced by C. acnes during PJI represents a major hurdle on the path to patient's cure. Because biofilm-associated bacteria have a slower metabolism and a lower multiplication rate than planktonic bacteria, antibiotic susceptibility can be hampered. Rifampicin is an antibiotic with low minimal bactericidal concentration against S. aureus and CNS biofilm-associated bacteria8 which significantly influence patient's outcome during staphylococci PJI.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
235
Antibiotic treatment back bone during 12 weeks
Antibiotic treatment back bone during 12 weeks + rifampicin
CH Annecy Genevois
Annecy, France
CHU de BORDEAUX
Bordeaux, France
HCL
Lyon, France
AP-HM
Marseille, France
CHU de MONTPELLIER
Montpellier, France
CHU de Nantes
Nantes, France
CHU de NICE
Nice, France
Dianonesses croix saint simon
Paris, France
CHU de Rennes
Rennes, France
CHU Toulouse
Toulouse, France
...and 2 more locations
Rate of C. acnes prosthetic joint infections management failure
Defined by Relapse, New infection, early failure
Time frame: 24 months after the end of antibiotic treatment
Rate of adverse event linked to rifampicin
adverse events will be described by frequency and grade, throughout the treatment (classified according to the CTCAE 5.0.)
Time frame: during rifampicin treatment
Rate of C. acnes prosthetic joint infections probable failure
prosthetic joint infections probable failure suspected in case of specific clinical signs (fistula) and/or inflammatory synovial fluid without microbiological positive results and/or histopathological results after revision without microbiological positive results
Time frame: 24 months after the end of antibiotic treatment
Rate of C. acnes prosthetic joint infections management failure
Defined by Relapse, New infection, early failure
Time frame: 24 months after the end of antibiotic treatment
Rate of C. acnes prosthetic joint infections management failure
Defined by Relapse, New infection, early failure
Time frame: 12 months after the end of antibiotic treatment
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.