{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T13:03:35Z","timestamp":1785330215208,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"Abstract<\/jats:title>\n \n Purpose<\/jats:title>\n To compare 3 antiseptics and to identify factors associated with suture contamination during arthroscopic rotator cuff repair.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n One hundred fifty male patients scheduled for rotator cuff repair between July 2021 and October 2022 were enrolled. Patients were randomly assigned to 1 of 3 antiseptics groups: povidone\u2010iodine (P), alcohol\u2010containing povidone\u2010iodine (AP), and olanexidine gluconate (O). To minimize variability in surgical duration, surgeons were categorized into 3 groups (A, shortest; B, intermediate; C, longest) based on their preliminary average surgical time, and 1 of 3 antiseptics was randomly assigned to each group. Sutures cut after the last medial knot tying were cultured for a maximum of 3 weeks. The positive rates of\n Cutibacterium acnes<\/jats:italic>\n and miscellaneous bacteria were compared between antiseptics and surgeon groups. Repair integrity was evaluated via postoperative magnetic resonance imaging, and its relation with contamination was assessed.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n C. acnes<\/jats:italic>\n was detected in 92 shoulders (61%) and miscellaneous bacteria in 34 shoulders (23%), with coagulase\u2010negative\n Staphylococcus<\/jats:italic>\n predominating. There were no significant differences in the\n C. acnes<\/jats:italic>\n \u2010positive rates between the antiseptics groups. The contamination rate for any bacteria was significantly lower in AP than in O. Logistic regression analysis showed that O had a higher risk of any bacterial contamination than AP (odds ratio, 3.82;\n P<\/jats:italic>\n \u2009=\u2009.013). Shorter surgical and suture exposure times were associated with lower contamination rates. No relation was found between contamination and retear.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n C. acnes<\/jats:italic>\n was the most commonly detected bacterium in suture contamination during arthroscopic rotator cuff repairs. There was no difference in the efficacy of the 3 disinfectants in preventing\n C. acnes<\/jats:italic>\n contamination; however, the overall bacterial contamination rate was significantly higher in olanexidine compared with alcohol\u2010containing povidone\u2010iodine. Shorter surgical and suture exposure times were associated with a lower incidence of suture contamination.\n <\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n Level I, prospective randomized study.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/arj.70467","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:21:01Z","timestamp":1785327661000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Time Is More Predictive of Suture Contamination During Arthroscopic Rotator Cuff Repair Compared With Skin\u2010Preparation Method: A Prospective Randomized Study on Male Patients"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9710-9754","authenticated-orcid":false,"given":"Hideki","family":"Kamijo","sequence":"first","affiliation":[{"name":"Sports Medicine & Joint Center Funabashi Orthopedic Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9530-5269","authenticated-orcid":false,"given":"Keisuke","family":"Matsuki","sequence":"additional","affiliation":[{"name":"Sports Medicine & Joint Center Funabashi Orthopedic Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norimasa","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Sports Medicine & Joint Center Funabashi Orthopedic Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4192-5072","authenticated-orcid":false,"given":"Shota","family":"Hoshika","sequence":"additional","affiliation":[{"name":"Sports Medicine & Joint Center Funabashi Orthopedic Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoyuki","family":"Matsuba","sequence":"additional","affiliation":[{"name":"Sports Medicine & Joint Center Funabashi Orthopedic Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoshige","family":"Tamaki","sequence":"additional","affiliation":[{"name":"Sports Medicine & Joint Center Funabashi Orthopedic Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.jse.2015.08.002","article-title":"Frequent isolation of Propionibacterium acnes from the shoulder dermis despite skin preparation and prophylactic antibiotics","volume":"25","author":"Phadnis J","year":"2016","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"e0052","DOI":"10.2106\/JBJS.OA.17.00052","article-title":"Preoperative skin\u2010surface cultures can help to predict the presence of propionibacterium in shoulder arthroplasty wounds","volume":"3","author":"MacNiven I","year":"2018","journal-title":"JB JS Open Access"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1016\/j.arthro.2017.10.029","article-title":"Propionibacterium acnes suture contamination in arthroscopic rotator cuff repair: A prospective randomized study","volume":"34","author":"Yamakado K","year":"2018","journal-title":"Arthroscopy."},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"1949","DOI":"10.2106\/JBJS.H.00768","article-title":"Efficacy of surgical preparation solutions in shoulder surgery","volume":"91","author":"Saltzman MD","year":"2009","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"e762","DOI":"10.1016\/S2666-5247(22)00187-2","article-title":"Efficacy of different preoperative skin antiseptics on the incidence of surgical site infections: A systematic review, GRADE assessment, and network meta\u2010analysis","volume":"3","author":"Jalalzadeh H","year":"2022","journal-title":"Lancet Microbe."},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"e0269850","DOI":"10.1371\/journal.pone.0269850","article-title":"Assessment of disinfectant efficacy in reducing microbial growth","volume":"17","author":"Alajlan AA","year":"2022","journal-title":"PLoS One."},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1016\/j.jse.2014.09.042","article-title":"Presence of Propionibacterium acnes in primary shoulder arthroscopy: Results of aspiration and tissue cultures","volume":"24","author":"Sethi PM","year":"2015","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.jse.2012.07.007","article-title":"Propionibacterium acnes: An underestimated etiology in the pathogenesis of osteoarthritis?","volume":"22","author":"Levy O","year":"2013","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_10_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.diagmicrobio.2012.10.018","article-title":"A 7\u2010year retrospective review from 2005 to 2011 of Propionibacterium acnes shoulder infections in Ottawa, Ontario, Canada","volume":"75","author":"Wang B","year":"2013","journal-title":"Diagn Microbiol Infect Dis."},{"key":"e_1_2_8_11_1","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1111\/ped.13759","article-title":"Povidone\u2010iodine lowers the incidence of catheter\u2010associated bloodstream infection","volume":"61","author":"Sugiyama M","year":"2019","journal-title":"Pediatr Int."},{"key":"e_1_2_8_12_1","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s13756-020-00874-8","article-title":"Comparison of the antimicrobial efficacy of povidone\u2010iodine\u2010alcohol versus chlorhexidine\u2010alcohol for surgical skin preparation on the aerobic and anaerobic skin flora of the shoulder region","volume":"10","author":"Dorfel D","year":"2021","journal-title":"Antimicrob Resist Infect Control."},{"key":"e_1_2_8_13_1","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1001\/jamasurg.2017.0904","article-title":"Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017","volume":"152","author":"Berrios\u2010Torres SI","year":"2017","journal-title":"JAMA Surg."},{"key":"e_1_2_8_14_1","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1016\/S1473-3099(20)30225-5","article-title":"Aqueous olanexidine versus aqueous povidone\u2010iodine for surgical skin antisepsis on the incidence of surgical site infections after clean\u2010contaminated surgery: A multicentre, prospective, blinded\u2010endpoint, randomised controlled trial","volume":"20","author":"Obara H","year":"2020","journal-title":"Lancet Infect Dis."},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","first-page":"597","DOI":"10.2106\/JBJS.15.00568","article-title":"Propionibacterium in shoulder arthroplasty: What we think we know today","volume":"98","author":"Hsu JE","year":"2016","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_8_16_1","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1016\/j.jse.2020.12.019","article-title":"Benzoyl peroxide treatment decreases Cutibacterium acnes in shoulder surgery, from skin incision until wound closure","volume":"30","author":"Scheer VM","year":"2021","journal-title":"J Shoulder Elbow Surg."},{"key":"e_1_2_8_17_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v085.i08","article-title":"Randomize: An R package for the assessment and implementation of randomization in clinical trials","volume":"85","author":"Uschner D","year":"2018","journal-title":"J Stat 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A prospective outcome study","volume":"89","author":"Sugaya H","year":"2007","journal-title":"J Bone Joint Surg Am."},{"key":"e_1_2_8_25_1","doi-asserted-by":"crossref","first-page":"e723","DOI":"10.1002\/ams2.723","article-title":"Clinical application of skin antisepsis using aqueous olanexidine: A scoping review","volume":"9","author":"Shinzato Y","year":"2022","journal-title":"Acute Med Surg."},{"key":"e_1_2_8_26_1","doi-asserted-by":"crossref","first-page":"2372","DOI":"10.1016\/j.arthro.2024.02.019","article-title":"Suture contamination during arthroscopic rotator cuff repair is associated with significantly higher retear rates in magnetic resonance imaging: A matched\u2010pair analysis","volume":"40","author":"Hong CK","year":"2024","journal-title":"Arthroscopy."},{"key":"e_1_2_8_27_1","first-page":"10","article-title":"Prognostic factors affecting structural integrity after arthroscopic rotator cuff repair: A clinical and histological study","volume":"26","author":"Wang PW","year":"2023","journal-title":"Clin Shoulder Elb."},{"key":"e_1_2_8_28_1","doi-asserted-by":"crossref","first-page":"4416","DOI":"10.3390\/ijerph17124416","article-title":"The role of bacterial colonization of the suture thread in early identification and targeted antibiotic treatment of surgical site infections: A prospective cohort study","volume":"17","author":"Iovino F","year":"2020","journal-title":"Int J Environ Res Public Health."},{"key":"e_1_2_8_29_1","doi-asserted-by":"crossref","first-page":"2848","DOI":"10.3390\/ma12182848","article-title":"Bacterial adherence around sutures of different material at grafted site: A microbiological analysis","volume":"12","author":"Mahesh L","year":"2019","journal-title":"Materials."}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70467","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70467","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70467","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:21:06Z","timestamp":1785327666000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70467"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,29]]},"references-count":28,"alternative-id":["10.1002\/arj.70467"],"URL":"https:\/\/doi.org\/10.1002\/arj.70467","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,29]]},"assertion":[{"value":"2025-04-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"arj.70467"}}