title: Serological detection of Gram-positive bacterial infection around prostheses.
abstract: Coagulase-negative staphylococci produce an exocellular glycolipid antigen which has potential as a serological marker of infection in bone. The value of this newly detected antigen was investigated by enzyme-linked immunosorbent assay (ELISA) in 15 patients with culture-proven infection of prostheses caused by Gram-positive bacteria. The antigen was purified by gel-permeation chromatography from the culture supernatants of coagulase-negative staphylococci grown in a chemically defined medium. There were significant differences (p < 0.0001) between the serum IgG and IgM levels in patients with infection due to Gram-positive staphylococci and those of a control group of 32 patients with no infection. The ELISA test, which has potential for the diagnosis of infection, may be valuable in distinguishing between staphylococcal infection around prostheses and aseptic loosening.
authors.affiliation: Royal Orthopaedic Hospital, Birmingham, England, UK.
authors.forename: M
authors.initials: M
authors.lastname: Rafiq
authors.forename: T
authors.initials: T
authors.lastname: Worthington
authors.forename: S E
authors.initials: SE
authors.lastname: Tebbs
authors.forename: R B
authors.initials: RB
authors.lastname: Treacy
authors.forename: R
authors.initials: R
authors.lastname: Dias
authors.forename: P A
authors.initials: PA
authors.lastname: Lambert
authors.forename: T S
authors.initials: TS
authors.lastname: Elliott
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000907:Antibodies, Bacterial / Q000097:blood*; D000942:Antigens, Bacterial / Q000737:chemistry; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D015415:Biomarkers / Q000097:blood*; D016022:Case-Control Studies; D002850:Chromatography, Gel / Q000191:economics / Q000379:methods*; D003030:Coagulase; D003937:Diagnosis, Differential; D004797:Enzyme-Linked Immunosorbent Assay / Q000191:economics / Q000379:methods*; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood*; D007075:Immunoglobulin M / Q000097:blood*; D008070:Lipopolysaccharides / Q000737:chemistry; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000097:blood* / Q000276:immunology / Q000382:microbiology*; D012698:Serologic Tests / Q000191:economics / Q000379:methods*; D013203:Staphylococcal Infections / Q000097:blood* / Q000276:immunology / Q000382:microbiology*; D013210:Staphylococcus / Q000276:immunology*; D013682:Teichoic Acids / Q000737:chemistry
chemical_list: D000907:Antibodies, Bacterial; D000942:Antigens, Bacterial; D015415:Biomarkers; D003030:Coagulase; D007074:Immunoglobulin G; D007075:Immunoglobulin M; D008070:Lipopolysaccharides; D013682:Teichoic Acids; C009900:lipoteichoic acid