Actively Recruiting

Phase 3
Age: 18Years +
MALE
NCT04028401

Optimization of Skin Preparation to Reduce Cutibacterium Acnes Colonization in Superficial and Deep Samples During Prosthetic Shoulder Surgery in Male Patients

Led by Nantes University Hospital · Updated on 2025-05-01

110

Participants Needed

6

Research Sites

467 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Infections on joint replacements remain one of the most serious complications of orthopaedic surgery. Despite improvements in skin preparation and antibiotic prophylaxis procedures, the risk of infection of joint prosthesis is still high, particularly for shoulder prostheses, especially in men. One of the bacteria most often involved in post-operative infections for shoulder prosthesis is Cutibacterium acnes (CA). This bacterium is one of the predominant bacteria in pilosebaceous units. Eradication of this micro-organism remains difficult despite the techniques used in the preoperative phase. The objective of this protocol is to evaluate the efficacy of applying a 5% benzoyl peroxide topical during the 5 days preceding the procedure in the surgical skin incision area, which is based on local acne treatment, on the reduction of the CA bacterial load in the dermis of the approach to shoulder arthroplasty in men.

CONDITIONS

Official Title

Optimization of Skin Preparation to Reduce Cutibacterium Acnes Colonization in Superficial and Deep Samples During Prosthetic Shoulder Surgery in Male Patients

Who Can Participate

Age: 18Years +
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Male adult patients
  • No history of surgery on the operated shoulder
  • Undergoing glenohumeral arthroplasty (partial or total) for primary osteoarthritis, necrosis, massive rotator cuff tear, or old fracture
  • Affiliated with a social security system
  • Provided informed and written consent
Not Eligible

You will not qualify if you...

  • Arthroplasty due to previous shoulder surgery or arthroplasty failure
  • Arthroplasty for acute trauma
  • Taking immunosuppressive drugs
  • Having inflammatory rheumatism
  • Having progressive cancer
  • Allergies or intolerance to povidone iodine or benzoyl peroxide
  • Skin diseases in the treated area
  • Acne treatment in the treated area within 4 weeks before inclusion
  • Unable to have help applying 5% benzoyl peroxide if needed
  • Under major guardianship or legal protection
  • Not covered by social security

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 6 locations

1

CHU d'Angers

Angers, France, 49933

Actively Recruiting

2

CHU de Brest

Brest, France, 29609

Actively Recruiting

3

CHU de Limoges

Limoges, France, 87000

Actively Recruiting

4

CHU de Nantes

Nantes, France, 44093

Actively Recruiting

5

CHU de Rennes

Rennes, France, 35000

Actively Recruiting

6

CHU de Tours

Tours, France, 37170

Actively Recruiting

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Research Team

S

Stéphane CORVEC

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Optimization of Skin Preparation to Reduce Cutibacterium Acnes Colonization in Superficial and Deep Samples During Prosthetic Shoulder Surgery in Male Patients | DecenTrialz