{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:00:10Z","timestamp":1773604810661,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,1,30]],"date-time":"2012-01-30T00:00:00Z","timestamp":1327881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,1,30]],"date-time":"2012-01-30T00:00:00Z","timestamp":1327881600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2012,1,30]],"date-time":"2012-01-30T00:00:00Z","timestamp":1327881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2012,1,30]],"date-time":"2012-01-30T00:00:00Z","timestamp":1327881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the status of preoperative micro\u2010organism colonization and intraoperative contamination in patients undergoing anterior cruciate ligament (ACL) reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty patients who underwent scheduled ACL reconstruction were included in the study. At the preoperative checkup, swabs were taken from the skin at the surgical site and the nose. During surgery, swab samples were taken from the skin adjacent to the incision and the surface of the graft and examined for contamination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Preoperative examination for micro\u2010organism colonization showed positive results in 23 of 50 samples (46%) taken from the skin and 45 of 50 samples (90%) taken from the nose. Intraoperative swab samples taken from the skin and the graft showed positive rates of 6% and 2%, respectively, which were significantly lower compared with the preoperative values (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). The most frequently identified organism in both preoperative and postoperative examinations was coagulase\u2010negative\n                      <jats:italic>Staphylococcus<\/jats:italic>\n                      (CNS), representing 93% of the positive results. Among those CNS strains, roughly one\u2010third of the samples were shown to be methicillin resistant. During the study period, surgical\u2010site infection with methicillin\u2010resistant CNS occurred in 1 patient. In this patient the preoperative culture identified methicillin\u2010sensitive CNS, whereas preoperative nasal culture and intraoperative examinations of the skin and the graft were negative.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preoperative examination of micro\u2010organism colonization in patients undergoing ACL reconstruction showed positive results in 46% and 90% of the samples taken from the skin and the nose, respectively. In the intraoperative examination, 6% and 2% of the swabs taken from the adjacent skin and the graft, respectively, showed positive results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2011.10.023","type":"journal-article","created":{"date-parts":[[2012,1,31]],"date-time":"2012-01-31T01:21:43Z","timestamp":1327972903000},"page":"667-671","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Micro\u2010organism Colonization and Intraoperative Contamination in Patients Undergoing Arthroscopic Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"28","author":[{"given":"Hiroshi","family":"Nakayama","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Hyogo College of Medicine Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayoshi","family":"Yagi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hyogo College of Medicine Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichi","family":"Yoshiya","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hyogo College of Medicine Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshio","family":"Takesue","sequence":"additional","affiliation":[{"name":"Department of Infection Control and Prevention Hyogo College of Medicine Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,1,30]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509346414"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.12.002"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.07.015"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0793-1"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.10.002"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500222"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270050301"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507299744"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0808939"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0210-y"},{"key":"e_1_2_3_12_1","first-page":"131","article-title":"Decolonization of drug\u2010resistant organisms before total joint arthroplasty","volume":"59","author":"Parvizi J.","year":"2010","journal-title":"Instr Course Lect"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/106002809803200104"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0225-4"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-005-0649-3"},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B2.21715"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMe0908753"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00806"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0836-7"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2009.05.003"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-970593"},{"key":"e_1_2_3_22_1","volume-title":"Performance standards for antimicrobial disk susceptibility tests; 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