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Topical benzoyl peroxide application on the shoulder reduces Propionibacterium acnes: a randomized study
Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Anaesthesiology and Intensive Care in Linköping (ANOPIVA).
Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Diagnostics, Department of Clinical Microbiology. Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine.
Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Diagnostics, Department of Clinical Microbiology.
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2018 (English)In: Journal of shoulder and elbow surgery, ISSN 1058-2746, E-ISSN 1532-6500, Vol. 27, no 6, p. 957-961Article in journal (Refereed) Published
Abstract [en]

Background: Propionibacterium acnes is a common cause of infection following shoulder surgery. Studies have shown that standard surgical preparation does not eradicate P acnes. The purpose of this study was to examine whether topical application of benzoyl peroxide (BPO) gel could decrease the presence of P acnes compared with todays standard treatment with chlorhexidine soap (CHS). We also investigated and compared the recolonization of the skin after surgical preparation and draping between the BPO- and CHS-treated groups. Methods: In this single-blinded nonsurgical study, 40 volunteers-24 men and 16 women-were randomized to preoperative topical treatment at home with either 5% BPO or 4% CHS on the left shoulder at the area of a deltopectoral approach. Four skin swabs from the area were taken in a standardized manner at different times: before and after topical treatment, after surgical skin preparation and sterile draping, and 120 minutes after draping. Results: Topical treatment with BPO significantly reduced the presence of P acnes measured as the number of colony-forming units on the skin after surgical preparation. P acnes was found in 1 of 20 subjects in the BPO group and 7 of 20 in the CHS group (P = .044). The results remained after 2 hours (P = .048). Conclusion: Topical preparation with BPO before shoulder surgery may be effective in reducing P acnes on the skin and preventing recolonization. Conclusion: Topical preparation with BPO before shoulder surgery may be effective in reducing P acnes on the skin and preventing recolonization. (C) 2018 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.

Place, publisher, year, edition, pages
MOSBY-ELSEVIER , 2018. Vol. 27, no 6, p. 957-961
Keywords [en]
Propionibacterium acnes; preoperative shower; shoulder; infection; benzoyl peroxide; chlorhexidine
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-148372DOI: 10.1016/j.jse.2018.02.038ISI: 000432457200005PubMedID: 29609999OAI: oai:DiVA.org:liu-148372DiVA, id: diva2:1219058
Available from: 2018-06-15 Created: 2018-06-15 Last updated: 2019-08-23

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Bergman, Malin

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Scheer, VendelaBergman, MalinLerm, MariaSerrander, LenaKalén, Anders
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Division of Microbiology and Molecular MedicineFaculty of Medicine and Health SciencesDepartment of Anaesthesiology and Intensive Care in Linköping (ANOPIVA)Department of Clinical MicrobiologyDivision of Surgery, Orthopedics and OncologyDepartment of Orthopaedics in Linköping
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Journal of shoulder and elbow surgery
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