Evidence map›Paper›PMID 30936948›Full record

ArticleShoulder & elbow2019

Application of dermal chlorhexidine antisepsis is ineffective at reducing

Simon B M MacLean, Joideep Phadnis, Chi M Ling, Gregory I Bain

Registry-linked trialAbstract read
In one paragraph

Article in Shoulder & elbow, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05701475 (Triple Prevention Against Cutibacterium Acnes Using Benzoyl Peroxide Preparation in Addition to Pre-operative Cutaneous and Subcutaneous Iodine in Shoulder Surgery; a Single-blinded, Randomized, Controlled Trial.), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05701475 nacompletednot on this mapstarted 2023, after this paper: background citation

Triple Prevention Against Cutibacterium Acnes Using Benzoyl Peroxide Preparation in Addition to Pre-operative Cutaneous and Subcutaneous Iodine in Shoulder Surgery; a Single-blinded, Randomized, Controlled Trial.

TypeinterventionalSponsorClinique Générale dAnnecyRan2023 to 2024Enrolled156ConditionsPost-Operative Wound Infection, Surgical Site InfectionArmsSubcutaneous disinfection, Benzoyl peroxide preparation
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The shoulder microbiome: a systematic review and meta analysis.JSES reviews, reports, and techniques · 2024
    Review
  4. Journal of bone and joint infection · 2023
    Article
  5. Review
  6. Advances and Update on Reverse Total Shoulder Arthroplasty.Current reviews in musculoskeletal medicine · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Simon B M MacLeanDepartment of Orthopaedics and Trauma, Flinders University, Adelaide, SA, Australia.
Joideep PhadnisDepartment of Trauma and Orthopaedics, Brighton and Sussex University Hospitals, Brighton, UK.
Chi M LingDepartment of Orthopaedics and Trauma, Flinders University, Adelaide, SA, Australia.
Gregory I BainDepartment of Orthopaedics and Trauma, Flinders University, Adelaide, SA, Australia.
Flinders University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChlorhexidine as a skin surface antiseptic has been shown to be ineffective with respect to reducing

methodsThe present study enrolled 50 patients who were undergoing open shoulder surgery. Patients received standard antimicrobial preparation. Three dermal swabs were taken from each patient: swab 1 following skin incision; swab taken 2 minutes to 5 minutes post-application of aqueous chlorhexidine to the dermis; and swab 3 taken 60 minutes post-application.

resultsMean age was 57.5 years (22 males, 28 females). There were 21 patients (42%) with

conclusionsDermal application of aqueous chlorhexidine during open shoulder surgery fails to eradicate or reduce

Indexed as

chlorhexidinedermal; infectionmicrobiologyProprionibacterium acnesshoulder

Identifiers

PMID30936948
PMCPMC6434954
OpenAlexW2793075408

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.