TY - JOUR
T1 - Infection prevention in shoulder surgery
AU - Hackett, Daniel J.
AU - Crosby, Lynn A.
N1 - Publisher Copyright:
© 2015, J. Michael Ryan Publishing Inc. All rights reserved.
PY - 2015
Y1 - 2015
N2 - The microbiome of the shoulder demonstrates distinctive differences to other orthopaedic surgical sites. Recent studies have demonstrated that the most common organisms found in deep shoulder infections are coagulase-negative staphylococcal species and Propionibacterium acnes. Many studies support diligent hand washing, decreasing operative time, routine glove changing, minimizing operating room traffic, and covering instruments as means for decreasing the risk of deep infection. On the other hand, hair clipping and the use of adhesive drapes may have little effect on decreasing the incidence of deep infection. Although generally considered the most efficacious skin preparation solution, chlorhexidine gluconate has minimal effect on eradication of P. acnes from the surgical site; however, the addition of preoperative topical applications of benzoyl peroxide to standard surgical preparation has shown promise in decreasing the rate of P. acnes culture positivity. Additionally, the use of local antibiotic formulations seems to be an effective means of preventing deep infection.
AB - The microbiome of the shoulder demonstrates distinctive differences to other orthopaedic surgical sites. Recent studies have demonstrated that the most common organisms found in deep shoulder infections are coagulase-negative staphylococcal species and Propionibacterium acnes. Many studies support diligent hand washing, decreasing operative time, routine glove changing, minimizing operating room traffic, and covering instruments as means for decreasing the risk of deep infection. On the other hand, hair clipping and the use of adhesive drapes may have little effect on decreasing the incidence of deep infection. Although generally considered the most efficacious skin preparation solution, chlorhexidine gluconate has minimal effect on eradication of P. acnes from the surgical site; however, the addition of preoperative topical applications of benzoyl peroxide to standard surgical preparation has shown promise in decreasing the rate of P. acnes culture positivity. Additionally, the use of local antibiotic formulations seems to be an effective means of preventing deep infection.
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M3 - Article
C2 - 26631211
AN - SCOPUS:84950968657
SN - 2328-4633
VL - 73
SP - S140-S144
JO - Bulletin of the Hospital for Joint Diseases
JF - Bulletin of the Hospital for Joint Diseases
ER -