Post-incision Antimicrobial Wash vs C. Acnes in Shoulder Arthroplasty

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHenry Ford Health System

About this trial

The purpose of this randomized controlled trial is to determine the effect of post-incision wash using various novel antimicrobial solutions on the rate of positive C. Acnes cultures collected from adults undergoing primary shoulder replacement surgery. Subjects will be randomly assigned in a 1:1:1:1 fashion to groups that will receive one of the following treatments:

* Post-incision application of Xperience Antimicrobial wash (NextScience, Jacksonville, FL) * Post-incision application of 3% hydrogen peroxide * Post-incision application of 10% povidone-iodine (betadine) * No post-incision treatment (control)

The investigators hypothesize that the subjects treated with the antimicrobial solutions after initial incision will have lower rates of positive C. Acnes cultures. The investigators also hypothesize that post-incision application of Xperience Antimicrobial wash and Betadine will have an equal reduction in the incidence of C. acnes as Hydrogen Peroxide.

Eligibility criteria

Qualifiers

Indicated and scheduled for primary shoulder arthroplasty.

Chronic severe glenohumeral osteoarthritis, avascular necrosis, post traumatic osteoarthritis, rotator cuff arthropathy,

Ability to read and understand English

Age ≥18 years

Disqualifiers

Patient with history of prior native shoulder septic arthritis or infection

Prior surgery of affected shoulder

Proximal Humerus Fracture

Active infection

Trial design

Treatments tested in this trial

  • Povidone-Iodine
  • Hydrogen Peroxide
  • Xperience Antimicrobial Wash
  • Bacterial Cultures
  • Shoulder Arthroplasty

Treatment groups

150 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Henry Ford Health System

Lead sponsor

Next Science TM

Collaborator