Cargando…

Patient compliance and satisfaction with topical benzoyl peroxide gel prior to shoulder surgery

BACKGROUND: Cutibacterium acnes is a common pathogen leading to postoperative shoulder infections. Many centers are utilizing 5% topical benzoyl peroxide (BPO) gel to decrease cutibacterium acnes bioburden prior to surgery. The purpose of this study was to evaluate patient compliance, tolerance, and...

Descripción completa

Detalles Bibliográficos
Autores principales: Polce, Evan M., Cotter, Eric J., Polania-Gonzalez, Ernesto, Grogan, Brian F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9263990/
https://www.ncbi.nlm.nih.gov/pubmed/35813137
http://dx.doi.org/10.1016/j.jseint.2022.02.009
_version_ 1784742872882348032
author Polce, Evan M.
Cotter, Eric J.
Polania-Gonzalez, Ernesto
Grogan, Brian F.
author_facet Polce, Evan M.
Cotter, Eric J.
Polania-Gonzalez, Ernesto
Grogan, Brian F.
author_sort Polce, Evan M.
collection PubMed
description BACKGROUND: Cutibacterium acnes is a common pathogen leading to postoperative shoulder infections. Many centers are utilizing 5% topical benzoyl peroxide (BPO) gel to decrease cutibacterium acnes bioburden prior to surgery. The purpose of this study was to evaluate patient compliance, tolerance, and side effects of applying BPO to the shoulder prior to surgery. Our hypothesis was that BPO would be well tolerated with few, minor side effects, and patients would comply with a regimen of 5 treatments spanning 48 hours prior to surgery. METHODS: All patients undergoing operative intervention, either open or arthroscopic, about the shoulder from August 7, 2020, through July 15, 2021, by a single surgeon were instructed to apply BPO to the shoulder after showering, on dry skin, in the morning and evening, starting 48 hours before their surgical date. Patients were instructed to apply a half-dollar-sized quantity for each treatment. There were a total of 5 topical applications. On the day of surgery, patients were given a 6-question survey regarding side effects experienced, BPO treatments missed, ease of treatment, and a scenario question. Demographic information was collected, and a satisfaction survey was administered upon study completion. RESULTS: A total of 183 patients out of a possible 284 eligible patients (64.4%) completed the survey. The median (interquartile range) age at surgery was 59.9 years. Sixty-four participants (35%) in the study cohort were female. One-hundred thirteen (61.7%) had an arthroscopic surgical approach, whereas 70 (38.3%) underwent open shoulder surgery. Most patients (N = 152, 83.5%) experienced no side effects from the topical 5% BPO gel treatments. Twenty-two (12.0%) patients missed 1 treatment, 10 (5.5%) missed 2 treatments, 1 (0.5%) missed 3 treatments, 3 (1.6%) missed 4 treatments, and 4 (2.2%) missed all 5 treatments. The majority of patients, 143 (78.1%), completed all 5 treatments. When prompted to choose between serial skin preparation treatments at home leading up to surgery or a single light-based decolonization procedure in the preoperative holding area on the day of surgery, 111 (60.7%) preferred to undergo antimicrobial treatment at home and arrive for surgery as otherwise scheduled. CONCLUSION: Serial preoperative applications of topical 5% BPO gel are well tolerated by the majority of patients. Over 20% of patients missed at least one application of BPO. Most patients prefer home-based antimicrobial treatments compared with arriving earlier on the day of surgery for a single light-based antimicrobial treatment.
format Online
Article
Text
id pubmed-9263990
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-92639902022-07-09 Patient compliance and satisfaction with topical benzoyl peroxide gel prior to shoulder surgery Polce, Evan M. Cotter, Eric J. Polania-Gonzalez, Ernesto Grogan, Brian F. JSES Int Shoulder BACKGROUND: Cutibacterium acnes is a common pathogen leading to postoperative shoulder infections. Many centers are utilizing 5% topical benzoyl peroxide (BPO) gel to decrease cutibacterium acnes bioburden prior to surgery. The purpose of this study was to evaluate patient compliance, tolerance, and side effects of applying BPO to the shoulder prior to surgery. Our hypothesis was that BPO would be well tolerated with few, minor side effects, and patients would comply with a regimen of 5 treatments spanning 48 hours prior to surgery. METHODS: All patients undergoing operative intervention, either open or arthroscopic, about the shoulder from August 7, 2020, through July 15, 2021, by a single surgeon were instructed to apply BPO to the shoulder after showering, on dry skin, in the morning and evening, starting 48 hours before their surgical date. Patients were instructed to apply a half-dollar-sized quantity for each treatment. There were a total of 5 topical applications. On the day of surgery, patients were given a 6-question survey regarding side effects experienced, BPO treatments missed, ease of treatment, and a scenario question. Demographic information was collected, and a satisfaction survey was administered upon study completion. RESULTS: A total of 183 patients out of a possible 284 eligible patients (64.4%) completed the survey. The median (interquartile range) age at surgery was 59.9 years. Sixty-four participants (35%) in the study cohort were female. One-hundred thirteen (61.7%) had an arthroscopic surgical approach, whereas 70 (38.3%) underwent open shoulder surgery. Most patients (N = 152, 83.5%) experienced no side effects from the topical 5% BPO gel treatments. Twenty-two (12.0%) patients missed 1 treatment, 10 (5.5%) missed 2 treatments, 1 (0.5%) missed 3 treatments, 3 (1.6%) missed 4 treatments, and 4 (2.2%) missed all 5 treatments. The majority of patients, 143 (78.1%), completed all 5 treatments. When prompted to choose between serial skin preparation treatments at home leading up to surgery or a single light-based decolonization procedure in the preoperative holding area on the day of surgery, 111 (60.7%) preferred to undergo antimicrobial treatment at home and arrive for surgery as otherwise scheduled. CONCLUSION: Serial preoperative applications of topical 5% BPO gel are well tolerated by the majority of patients. Over 20% of patients missed at least one application of BPO. Most patients prefer home-based antimicrobial treatments compared with arriving earlier on the day of surgery for a single light-based antimicrobial treatment. Elsevier 2022-03-07 /pmc/articles/PMC9263990/ /pubmed/35813137 http://dx.doi.org/10.1016/j.jseint.2022.02.009 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Shoulder
Polce, Evan M.
Cotter, Eric J.
Polania-Gonzalez, Ernesto
Grogan, Brian F.
Patient compliance and satisfaction with topical benzoyl peroxide gel prior to shoulder surgery
title Patient compliance and satisfaction with topical benzoyl peroxide gel prior to shoulder surgery
title_full Patient compliance and satisfaction with topical benzoyl peroxide gel prior to shoulder surgery
title_fullStr Patient compliance and satisfaction with topical benzoyl peroxide gel prior to shoulder surgery
title_full_unstemmed Patient compliance and satisfaction with topical benzoyl peroxide gel prior to shoulder surgery
title_short Patient compliance and satisfaction with topical benzoyl peroxide gel prior to shoulder surgery
title_sort patient compliance and satisfaction with topical benzoyl peroxide gel prior to shoulder surgery
topic Shoulder
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9263990/
https://www.ncbi.nlm.nih.gov/pubmed/35813137
http://dx.doi.org/10.1016/j.jseint.2022.02.009
work_keys_str_mv AT polceevanm patientcomplianceandsatisfactionwithtopicalbenzoylperoxidegelpriortoshouldersurgery
AT cotterericj patientcomplianceandsatisfactionwithtopicalbenzoylperoxidegelpriortoshouldersurgery
AT polaniagonzalezernesto patientcomplianceandsatisfactionwithtopicalbenzoylperoxidegelpriortoshouldersurgery
AT groganbrianf patientcomplianceandsatisfactionwithtopicalbenzoylperoxidegelpriortoshouldersurgery