{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T12:16:06Z","timestamp":1778588166760,"version":"3.51.4"},"reference-count":25,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["11101005"],"award-info":[{"award-number":["11101005"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["10904008"],"award-info":[{"award-number":["10904008"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jshoulderelbow.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Shoulder and Elbow Surgery"],"published-print":{"date-parts":[[2023,4]]},"DOI":"10.1016\/j.jse.2022.10.033","type":"journal-article","created":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T21:36:04Z","timestamp":1669930564000},"page":"744-750","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Extended skin cleaning on the shoulder with chlorhexidine reduces the cutaneous bacterial load but fails to decrease suture contamination in patients undergoing arthroscopy rotator cuff repair"],"prefix":"10.1016","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3231-1789","authenticated-orcid":false,"given":"Chih-Kai","family":"Hong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7576-2486","authenticated-orcid":false,"given":"Kai-Lan","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fa-Chuan","family":"Kuan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ya-Ting","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1997-6666","authenticated-orcid":false,"given":"Pei-Fang","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4015-1052","authenticated-orcid":false,"given":"Po-Lin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6133-3584","authenticated-orcid":false,"given":"Wei-Ren","family":"Su","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jse.2022.10.033_bib1","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1128\/CMR.00092-13","article-title":"Propionibacterium acnes: from commensal to opportunistic biofilm-associated implant pathogen","volume":"27","author":"Achermann","year":"2014","journal-title":"Clin Microbiol Rev"},{"key":"10.1016\/j.jse.2022.10.033_bib2","doi-asserted-by":"crossref","first-page":"1978","DOI":"10.1016\/j.jse.2017.05.005","article-title":"Two-stage reimplantation for the treatment of deep infection after shoulder arthroplasty","volume":"26","author":"Assenmacher","year":"2017","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib3","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1055\/s-0034-1371771","article-title":"Preoperative skin disinfection methodologies for reducing prosthetic joint infections","volume":"27","author":"Banerjee","year":"2014","journal-title":"J Knee Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib4","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1016\/j.jse.2019.12.032","article-title":"Prevention of Cutibacterium acnes infection in arthroscopic shoulder surgery: a systematic review","volume":"29","author":"Belk","year":"2020","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib5","doi-asserted-by":"crossref","DOI":"10.3390\/microorganisms10030605","article-title":"The use and limitations of the 16S rRNA sequence for species classification of anaplasma samples","volume":"10","author":"Caudill","year":"2022","journal-title":"Microorganisms"},{"key":"10.1016\/j.jse.2022.10.033_bib6","doi-asserted-by":"crossref","first-page":"1554","DOI":"10.1016\/j.jse.2019.03.038","article-title":"Hydrogen peroxide skin preparation reduces Cutibacterium acnes in shoulder arthroplasty: a prospective, blinded, controlled trial","volume":"28","author":"Chalmers","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib7","doi-asserted-by":"crossref","first-page":"1702","DOI":"10.1016\/j.arthro.2015.01.029","article-title":"The incidence of Propionibacterium acnes in shoulder arthroscopy","volume":"31","author":"Chuang","year":"2015","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jse.2022.10.033_bib8","doi-asserted-by":"crossref","first-page":"e315","DOI":"10.1016\/j.asmr.2020.03.004","article-title":"Mid- to long-term outcomes after deep infections after arthroscopic rotator cuff repair","volume":"2","author":"Frank","year":"2020","journal-title":"Arthrosc Sports Med Rehabil"},{"key":"10.1016\/j.jse.2022.10.033_bib9","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1111\/ans.14848","article-title":"Benzoyl peroxide + chlorhexidine versus chlorhexidine alone skin preparation to reduce Propionibacterium acnes: a randomized controlled trial","volume":"88","author":"Hancock","year":"2018","journal-title":"ANZ J Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib10","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1302\/2046-3758.81.BJR-2018-0145.R1","article-title":"Bactericidal efficacy of hydrogen peroxide on Cutibacterium acnes","volume":"8","author":"Hernandez","year":"2019","journal-title":"Bone Joint Res"},{"key":"10.1016\/j.jse.2022.10.033_bib11","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.otsr.2018.04.033","article-title":"Surgical field and skin preparation","volume":"105","author":"Jolivet","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.jse.2022.10.033_bib12","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.jos.2019.02.008","article-title":"Incidence of Propionibacterium acnes in arthroscopic rotator cuff repair","volume":"25","author":"Kajita","year":"2020","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.jse.2022.10.033_bib13","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1016\/j.jse.2018.06.012","article-title":"Neer Award 2018: Benzoyl peroxide effectively decreases preoperative Cutibacterium acnes shoulder burden: a prospective randomized controlled trial","volume":"27","author":"Kolakowski","year":"2018","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib14","doi-asserted-by":"crossref","first-page":"2036","DOI":"10.1016\/j.jse.2020.02.015","article-title":"Incidence of Cutibacterium acnes from shoulder arthroplasties in Asians: ethnic differences should be considered","volume":"29","author":"Kwon","year":"2020","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib15","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1016\/j.jse.2015.12.026","article-title":"Loose glenoid components in revision shoulder arthroplasty: is there an association with positive cultures?","volume":"25","author":"Lucas","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib16","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1016\/j.jse.2014.10.007","article-title":"The effect of axillary hair on surgical antisepsis around the shoulder","volume":"24","author":"Marecek","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib17","doi-asserted-by":"crossref","first-page":"e1811","DOI":"10.2106\/JBJS.L.01733","article-title":"Origin of propionibacterium in surgical wounds and evidence-based approach for culturing propionibacterium from surgical sites","volume":"95","author":"Matsen","year":"2013","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2022.10.033_bib18","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1016\/j.jse.2011.02.018","article-title":"Efficacy of preoperative home use of 2% chlorhexidine gluconate cloth before shoulder surgery","volume":"20","author":"Murray","year":"2011","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib19","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1007\/s00167-016-4202-2","article-title":"Infections following arthroscopic rotator cuff repair: incidence, risk factors, and prophylaxis","volume":"25","author":"Pauzenberger","year":"2017","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.jse.2022.10.033_bib20","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/j.jse.2018.02.038","article-title":"Topical benzoyl peroxide application on the shoulder reduces Propionibacterium acnes: a randomized study","volume":"27","author":"Scheer","year":"2018","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib21","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1016\/j.jse.2018.10.016","article-title":"Cutibacterium acnes in primary reverse shoulder arthroplasty: from skin to deep layers","volume":"28","author":"Torrens","year":"2019","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib22","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/j.jse.2022.01.115","article-title":"Acne cream reduces the deep Cutibacterium acnes tissue load before elective open shoulder surgery: a randomized-controlled pilot trial","volume":"31","author":"Unterfrauner","year":"2022","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2022.10.033_bib23","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1128\/jb.173.2.697-703.1991","article-title":"16S ribosomal DNA amplification for phylogenetic study","volume":"173","author":"Weisburg","year":"1991","journal-title":"J Bacteriol"},{"key":"10.1016\/j.jse.2022.10.033_bib24","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","year":"2018","journal-title":"Arthroscopy"},{"key":"10.1016\/j.jse.2022.10.033_bib25","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.1016\/j.arthro.2020.12.186","article-title":"Hydrogen Peroxide does not significantly reduce Cutibacterium acnes suture contamination in arthroscopic rotator cuff repair","volume":"37","author":"Yamakado","year":"2021","journal-title":"Arthroscopy"}],"container-title":["Journal of Shoulder and Elbow Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274622008643?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274622008643?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:51:22Z","timestamp":1778586682000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1058274622008643"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["S1058274622008643"],"URL":"https:\/\/doi.org\/10.1016\/j.jse.2022.10.033","relation":{},"ISSN":["1058-2746"],"issn-type":[{"value":"1058-2746","type":"print"}],"subject":[],"published":{"date-parts":[[2023,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Extended skin cleaning on the shoulder with chlorhexidine reduces the cutaneous bacterial load but fails to decrease suture contamination in patients undergoing arthroscopy rotator cuff repair","name":"articletitle","label":"Article Title"},{"value":"Journal of Shoulder and Elbow Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jse.2022.10.033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.","name":"copyright","label":"Copyright"}]}}