Strategies to decolonize the shoulder of Cutibacterium acnes: a review of the literature

Abstract

Cutibacterium acnes is the most prevalent cause of joint infection after shoulder surgery. Current methods for decolonizing this bacterium from the shoulder region have proved ineffective owing to its unique niche within dermal sebaceous glands and hair follicles. When we are making decisions to decolonize the skin of C acnes, the risks associated with decolonization must be balanced by the potential benefits of reduced deep tissue inoculation. The purpose of this review was to describe currently available methods of decolonization and their efficacy.

Keywords: Cutibacterium acnes; benzoyl peroxide; decolonization; perioperative antibiotics; periprosthetic joint infection; skin preparation.