{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:31:02Z","timestamp":1785411062135,"version":"3.56.0"},"reference-count":16,"publisher":"Michigan State University College of Osteopathic Medicine Statewide Campus System","issue":"1","license":[{"start":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T00:00:00Z","timestamp":1591574400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"context\">\n                    <jats:title>CONTEXT<\/jats:title>\n                    <jats:p>Cutibacterium acnes (C. Acnes, formerly known as Propionibacterium acnes) are slow growing, gram positive, anaerobic bacilli. C. acnes are found in many locations, both as part of normal skin flora, as well as a contaminant of environmental surfaces. These bacteria have been associated with prosthetic joint infections of the shoulder, and it has been challenging to prevent such infections for a variety of reasons. The purpose of this quality improvement project was to investigate whether the surgical adhesive dressing Ioban could pull subcutaneous C. acnes bacteria from the surgical field.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>During this quality improvement project, a convenience sample of 16 adult volunteers were gathered from other residency departments and from medical students at our hospital. The volunteers were used to take samples from two sites on each shoulder. The shoulder sites were prepped and covered with iodine-impregnated dressings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>There were 26 of 64 (40.6%) samples in the no Ioban group that grew C. acnes. The Ioban group had 37 of 64 (57.8%) samples found to be positive for C. acnes growth. During this project, we identified several key points that could be useful to future researchers working in community hospitals. We describe these lessons concerning ongoing communication with lab and research departments, offering volunteers compensation to participate, interacting with departments unaccustomed to research, and development of a clear methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusions\">\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>This was the first time our department had conduct a project utilizing the laboratory as well as volunteers. This came with unforeseen challenges which caused significant time delays. We believe that by highlighting these lessons for future researchers, they might avoid such problems during project activities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.51894\/001c.12463","type":"journal-article","created":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T14:18:32Z","timestamp":1613398712000},"source":"Crossref","is-referenced-by-count":1,"title":["Removal of Ioban May Pull Bacteria to the Surface of the Skin: Lessons Learned"],"prefix":"10.51894","volume":"5","author":[{"given":"Jacob","family":"Lytle","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03snrmr61","id-type":"ROR","asserted-by":"publisher"}],"name":"Genesys Regional Medical Center","department":["Orthopedic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"McCoy","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03snrmr61","id-type":"ROR","asserted-by":"publisher"}],"name":"Genesys Regional Medical Center","department":["Orthopedic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Smeltzer","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03snrmr61","id-type":"ROR","asserted-by":"publisher"}],"name":"Genesys Regional Medical Center","department":["Orthopedic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Nelson","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03snrmr61","id-type":"ROR","asserted-by":"publisher"}],"name":"Genesys Regional Medical Center","department":["Orthopedic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29343","published-online":{"date-parts":[[2020,6,8]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1016\/j.jse.2009.01.023","article-title":"Propionibacterium acnes colonization of the human shoulder","volume":"18","author":"Amar Patel","year":"2009","journal-title":"Journal of Shoulder and Elbow Surgery","ISSN":"https:\/\/id.crossref.org\/issn\/1058-2746","issn-type":"print"},{"issue":"9","key":"ref2","doi-asserted-by":"publisher","first-page":"2809","DOI":"10.1007\/s11999-014-3696-5","article-title":"Patient and Procedure-specific Risk Factors for Deep Infection After Primary Shoulder Arthroplasty","volume":"472","author":"Jason Richards","year":"2014","journal-title":"Clinical Orthopaedics and Related Research\u00ae","ISSN":"https:\/\/id.crossref.org\/issn\/0009-921X","issn-type":"print"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"1891","DOI":"10.1016\/j.arth.2018.01.013","article-title":"Incise Draping Reduces the Rate of Contamination of the Surgical Site During Hip Surgery: A Prospective","volume":"33","author":"M. Rezapoor","year":"2018","journal-title":"Randomized Trial. J Arthroplasty"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1089\/sur.2014.097","article-title":"Perioperative Skin Preparation and Draping in Modern Total Joint Arthroplasty: Current Evidence","volume":"16","author":"K. Markatos","year":"2015","journal-title":"Surg Infect (Larchmt)"},{"issue":"1","key":"ref5","first-page":"77","article-title":"Treatment of trichostasis spinulosa with a hydroactive adhesive pad","volume":"66","author":"D.M. Elston","year":"2000","journal-title":"Cutis"},{"issue":"2","key":"ref6","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Paul A. Harris","year":"2009","journal-title":"Journal of Biomedical Informatics","ISSN":"https:\/\/id.crossref.org\/issn\/1532-0464","issn-type":"print"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"103208","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: Building an international community of software platform partners","volume":"95","author":"Paul A. Harris","year":"2019","journal-title":"Journal of Biomedical Informatics","ISSN":"https:\/\/id.crossref.org\/issn\/1532-0464","issn-type":"print"},{"issue":"14","key":"ref8","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.2106\/jbjs.n.00881","article-title":"Early Versus Late Culture Growth of Propionibacterium acnes in Revision Shoulder Arthroplasty","volume":"97","author":"Salvatore J Frangiamore","year":"2015","journal-title":"The Journal of Bone and Joint Surgery-American Volume","ISSN":"https:\/\/id.crossref.org\/issn\/0021-9355","issn-type":"print"},{"issue":"3","key":"ref9","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00064-17","article-title":"Clinical and biological features of Cutibacterium (formerly Propionibacterium) avidum, an underrecognized microorganism","volume":"31","author":"S Corvec","year":"2018","journal-title":"Clin Microbiol Rev"},{"issue":"4","key":"ref10","doi-asserted-by":"publisher","first-page":"980","DOI":"10.1128\/jcm.02723-15","article-title":"Propionibacterium acnes: Disease-causing agent or common contaminant? Detection in diverse patient samples by next-generation sequencing","volume":"54","author":"Sarah Mollerup","year":"2016","journal-title":"Journal of Clinical Microbiology","ISSN":"https:\/\/id.crossref.org\/issn\/0095-1137","issn-type":"print"},{"issue":"5","key":"ref11","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1016\/j.jse.2014.09.042","article-title":"Presence of Propionibacterium acnes in primary shoulder arthroscopy: Results of aspiration and tissue cultures","volume":"24","author":"Paul M. Sethi","year":"2015","journal-title":"Journal of Shoulder and Elbow Surgery","ISSN":"https:\/\/id.crossref.org\/issn\/1058-2746","issn-type":"print"},{"issue":"7","key":"ref12","doi-asserted-by":"publisher","first-page":"1083","DOI":"10.1086\/605577","article-title":"Postoperative Joint Infections Due toPropionibacteriumSpecies: A Case\u2010Control Study","volume":"49","author":"Zeina A. Kanafani","year":"2009","journal-title":"Clinical Infectious Diseases","ISSN":"https:\/\/id.crossref.org\/issn\/1058-4838","issn-type":"print"},{"issue":"1","key":"ref13","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.jse.2014.05.008","article-title":"Substantial cultures of Propionibacterium can be found in apparently aseptic shoulders revised three years or more after the index arthroplasty","volume":"24","author":"Erik McGoldrick","year":"2015","journal-title":"Journal of Shoulder and Elbow Surgery","ISSN":"https:\/\/id.crossref.org\/issn\/1058-2746","issn-type":"print"},{"issue":"9","key":"ref14","doi-asserted-by":"publisher","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":"Logan Kolakowski","year":"2018","journal-title":"Journal of Shoulder and Elbow Surgery","ISSN":"https:\/\/id.crossref.org\/issn\/1058-2746","issn-type":"print"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1097\/00003086-200301000-00035","article-title":"Bacterial skin contamination after surgical preparation in foot and ankle surgery","volume":"406","author":"Roger V. Ostrander","year":"2003","journal-title":"Clinical Orthopaedics and Related Research","ISSN":"https:\/\/id.crossref.org\/issn\/0009-921X","issn-type":"print"},{"issue":"11","key":"ref16","doi-asserted-by":"publisher","first-page":"739","DOI":"10.1007\/s10096-005-0040-8","article-title":"Arthroplastic and osteosynthetic infections due to Propionibacterium acnes: A retrospective study of 52 cases, 1995-2002","volume":"24","author":"M.-F. Lutz","year":"2005","journal-title":"European Journal of Clinical Microbiology & Infectious Diseases","ISSN":"https:\/\/id.crossref.org\/issn\/0934-9723","issn-type":"print"}],"container-title":["Spartan Medical Research Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/smrj.scholasticahq.com\/article\/12463-removal-of-ioban-may-pull-bacteria-to-the-surface-of-the-skin-lessons-learned","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T15:00:51Z","timestamp":1739286051000},"score":1,"resource":{"primary":{"URL":"https:\/\/smrj.scholasticahq.com\/article\/12463-removal-of-ioban-may-pull-bacteria-to-the-surface-of-the-skin-lessons-learned"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,8]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.51894\/001c.12463","relation":{},"ISSN":["2474-7629"],"issn-type":[{"value":"2474-7629","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,8]]}}}