{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:09:08Z","timestamp":1787501348089,"version":"build-2736575974"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2020,12,8]],"date-time":"2020-12-08T00:00:00Z","timestamp":1607385600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The UK vaccination guidelines state that skin cleansing is not essential in socially clean patients. This report discusses a 69-year-old type 2 diabetic patient with a 4-week history of left shoulder pain with no precipitating factors other than a \u2018flu vaccination without having had skin alcohol cleansing. She sustained a swollen left painful shoulder. Aspiration fluid grew Staphylococcus aureus and imaging confirmed diagnosis of septic arthritis. She underwent shoulder debridement and was started on antibiotics. Imaging 6\u00a0months later shows the sequelae of septic arthritis. The patient had ongoing stiffness and pain at 6\u00a0months. This report raises the question of whether there needs to be a revision of routine skin cleansing practice before vaccinations in certain groups of individuals.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa458","type":"journal-article","created":{"date-parts":[[2020,10,14]],"date-time":"2020-10-14T07:46:44Z","timestamp":1602661604000},"source":"Crossref","is-referenced-by-count":8,"title":["Shoulder septic arthritis following routine influenza vaccination"],"prefix":"10.1093","volume":"2020","author":[{"given":"Josiah","family":"Damisa","sequence":"first","affiliation":[{"name":"Department of Trauma & Orthopaedics, Darlington Memorial Hospital, Darlington, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zereda","family":"Zulkeefli","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedics, Darlington Memorial Hospital, Darlington, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lebur","family":"Rohman","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedics, Darlington Memorial Hospital, Darlington, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Burton","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedics, Darlington Memorial Hospital, Darlington, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,12,7]]},"reference":[{"key":"2020121813591670600_ref1","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.ehmc.2014.06.009","article-title":"Septic arthritis","volume":"3","author":"Cho","year":"2014","journal-title":"Hospital Medicine Clinics"},{"key":"2020121813591670600_ref2","volume-title":"The Green Book"},{"key":"2020121813591670600_ref3","volume-title":"General Best Practice Guidelines for Immunization: Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP)","author":"Ezeanolue","year":"2018"},{"key":"2020121813591670600_ref4","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1177\/14690446050060040801","article-title":"The need for skin preparation prior to injection: point\u2014counterpoint","volume":"6","author":"Pratt","year":"2005","journal-title":"British Journal of Infection Control"},{"key":"2020121813591670600_ref5","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1136\/bmj.1.5793.136","article-title":"Skin bacteria and skin disinfection reconsidered","volume":"1","author":"Selwyn","year":"1972","journal-title":"Br Med J"},{"key":"2020121813591670600_ref6","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1136\/aim.19.2.112","article-title":"Skin disinfection and acupuncture","volume":"19","author":"Hoffman","year":"2001","journal-title":"Acupunct Med"},{"key":"2020121813591670600_ref7","first-page":"573","article-title":"The virulence of staphylococcus pyogenes for man. A study of the problems of wound infection","volume":"38","author":"Elek","year":"1957","journal-title":"Br J Exp Pathol"},{"key":"2020121813591670600_ref8","first-page":"183","article-title":"A prospective controlled trial of the efficacy of isopropyl alcohol wipes before venesection in surgical patients","volume":"81","author":"Sutton","year":"1999","journal-title":"Ann R Coll Surg Engl"},{"key":"2020121813591670600_ref9","doi-asserted-by":"crossref","first-page":"804","DOI":"10.4093\/dmj.2019.0071","article-title":"Diabetes and the risk of infection: a national cohort study","volume":"43","author":"Kim","year":"2019","journal-title":"Diabetes Metab J"},{"key":"2020121813591670600_ref10","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1016\/j.bja.2017.11.105","article-title":"Haematoma and abscess after neuraxial anaesthesia: a review of 647 cases","volume":"120","author":"Bos","year":"2018","journal-title":"Br J Anaesth"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/12\/rjaa458\/34949454\/rjaa458.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/12\/rjaa458\/34949454\/rjaa458.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T01:02:56Z","timestamp":1608339776000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa458\/6025193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,1]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa458","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,12]]},"published":{"date-parts":[[2020,12,1]]},"article-number":"rjaa458"}}