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Antimicrobial Prophylaxis for Skin Colonization With Propionibacterium Acnes in Primary Open Shoulder Surgery

Propionibacterium Infection

INESS Antibiotic Prophylaxis in Orthopedic Guide recommends the use of Cefazolin at induction for all orthopaedic procedure with implantation of internal fixation device. With the increasing rate of identified P. acnes shoulder surgery infection despite the use of recommended skin preparation and preoperative prophylactic antibiotics, a question arises; Is Cefazolin the most effective prophylactic antibiotic for shoulder surgery? The objective of this study is to determine if Ceftriaxone is superior to Cefazolin as a prophylactic antibiotic for skin colonization with P. acnes in primary shoulder surgery

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Participation Requirements

  • Sex:

    ALL

  • Eligible Ages:

    18 and up

Participation Criteria

Inclusion Criteria:

* 18 years and older
* Male or female
* Presenting normal skin on the shoulder aria

Exclusion Criteria:

* Used antibiotics or treated their skin with antibiotic gel, alcohol gel or cream or acne treatment in the last three months
* Active infection at the surgical site or anywhere
* Affected shoulder previously received radiotherapy
* Allergic to one of the antimicrobial prophylaxis used
* Open fracture
* Life threatening or a limb threatening pathology
* Liver or kidney failure

Study Location

Hôpital du Sacré-Cœur de Montréal
Hôpital du Sacré-Cœur de Montréal
Montréal, Quebec
Canada

Contact Study Team

Primary Contact

Dominique Rouleau

[email protected]
514-338-2222
Backup Contact

Karine Tardif

[email protected]
514-338-2222
Study Sponsored By
Université de Montréal
Participants Required
More Information
Study ID: NCT02996656