{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T03:38:30Z","timestamp":1790134710070,"version":"4.0.1"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,1,18]],"date-time":"2018-01-18T00:00:00Z","timestamp":1516233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,1,18]],"date-time":"2018-01-18T00:00:00Z","timestamp":1516233600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2018,1,18]],"date-time":"2018-01-18T00:00:00Z","timestamp":1516233600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.fr","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine the contamination rate of the anchor\u2010suture and to determine the efficacy of 2 different surgical skin preparation solutions with or without a plastic adhesive drape from suture contamination in arthroscopic rotator cuff repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective randomized study was undertaken to evaluate 126 consecutive patients undergoing arthroscopic rotator cuff repair. Each shoulder was prepared with one of 2 randomly selected solutions according to an assigned envelope that indicated the procedure to be used: chlorhexidine\u2010alcohol (1% chlorhexidine gluconate and 70% isopropyl alcohol) or povidone\u2010iodine. Then, each group was further divided according to the usage of a plastic drape. The first cut\u2010tails of the anchor\u2010suture after cuff fixation were submitted to aerobic and anaerobic cultures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall rate of\n                      <jats:italic>Propionibacterium acnes<\/jats:italic>\n                      \u2013positive cultures was 47% (14 of 31 cases) in the povidone\u2010iodine group, 33% (11 of 33 cases) in the povidone\u2010iodine with a drape group, 33% (10 of 30 cases) in the chlorhexidine\u2010alcohol group, and 9.3% (3 of 32 cases) in the chlorhexidine\u2010alcohol with a drape group. The positive culture rate in the chlorhexidine\u2010alcohol with a drape group was lower than that in the povidone\u2010iodine group (relative risk, 0.2; 95% confidence interval: 0.064\u20100.63; number needed to treat, 2.7;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). Coagulase\u2010negative staphylococci were isolated in the povidone\u2010iodine with a drape (1 case) and chlorhexidine\u2010alcohol with a drape group (2 cases). No other bacteria were isolated, and no infections occurred in any of the patients treated in this study during the minimum 12\u2010month follow\u2010up period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Chlorhexidine\u2010alcohol solution with an adhesive plastic drape was more effective than chlorhexidine\u2010alcohol without a plastic drape and povidone\u2010iodine with\/without a plastic drape in eliminating\n                      <jats:italic>P acnes<\/jats:italic>\n                      suture contamination. However, the usage of a plastic drape slightly increased the risk of coagulase\u2010negative Staphylococcus proliferation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level I, therapeutic, prospective, randomized trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2017.10.029","type":"journal-article","created":{"date-parts":[[2018,1,17]],"date-time":"2018-01-17T13:18:59Z","timestamp":1516195139000},"page":"1151-1155","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":31,"title":["<i>Propionibacterium acnes<\/i>\n                    Suture Contamination in Arthroscopic Rotator Cuff Repair: A Prospective Randomized Study"],"prefix":"10.1002","volume":"34","author":[{"given":"Kotaro","family":"Yamakado","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Fukui General Hospital Fukui Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,18]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.atc.2006.09.001"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2007.10.004"},{"key":"e_1_2_2_4_2","first-page":"163","article-title":"Clinical complications, monitoring and management of perioperative mild hypothermia: Anesthesiological features","volume":"78","author":"Putzu M.","year":"2007","journal-title":"Acta Biomed"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199605093341901"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/804391"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00092-13"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.03.008"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.00568"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1758573216632464"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2017.00081"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v8.i8.612"},{"key":"e_1_2_2_13_2","first-page":"CD006353","article-title":"Use of plastic adhesive drapes during surgery for preventing surgical site infection","volume":"4","author":"Webster J.","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2013.02.011"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1099800411430381"},{"key":"e_1_2_2_16_2","first-page":"784","article-title":"Healthcare Infection Control Practices Advisory Committee. 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