{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T13:47:38Z","timestamp":1781617658916,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,9,21]],"date-time":"2018-09-21T00:00:00Z","timestamp":1537488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008237","name":"Department of Surgery","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008237","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p><jats:italic>Propionibacterium acnes<\/jats:italic> may be transmitted from the subdermal tissues to the deeper tissues during shoulder arthroplasty surgery, resulting in deep infection. The aim of this prospective, clinical study was to determine whether the use of a wound protector drape can lower the incidence of <jats:italic>P. acnes<\/jats:italic> in the wound during shoulder arthroplasty surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>For a consecutive series of 47 patients undergoing shoulder arthroplasty, a wound protector drape was used during surgery, to isolate the subdermal layer from the surgeons\u2019 hands, retractors and other instruments. Microbiological swabs were taken both from the subdermal layer and the exposed drape to determine the incidence of <jats:italic>P. acnes<\/jats:italic> at both sites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall incidence of <jats:italic>P. acnes<\/jats:italic> in the subdermal layer was 23%. A fivefold decrease in the incidence of <jats:italic>P. acnes<\/jats:italic> in the exposed superficial layer was demonstrated by use of the wound protector drape.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Use of a wound protector drape to isolate the superficial tissue layer from the surgeons\u2019 gloves, instruments and retractors decreases the incidence of <jats:italic>P. acnes<\/jats:italic> in the surgical field. This may result in a decreased rate of transmission to the deeper tissues, and a decreased rate of <jats:italic>P. acnes<\/jats:italic> deep infection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14821","type":"journal-article","created":{"date-parts":[[2018,9,21]],"date-time":"2018-09-21T23:03:47Z","timestamp":1537571027000},"page":"1178-1181","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Minimizing <i>Propionibacterium acnes<\/i> contamination in shoulder arthroplasty: use of a wound protector"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1176-4885","authenticated-orcid":false,"given":"Mitchell L.","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Melbourne Orthopaedic Group  Melbourne Victoria 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