A comparison of the effects of preoperative whole-body bathing with detergent alone and with detergent containing chlorhexidine gluconate on the frequency of wound infections after clean surgery

Rotter, M.; Larsen, Severin Olesen; Cooke, E. M.; Dankert, J.; Daschner, Franz; Greco, Donato; Grönroos, P; Jepsen, Otto; Lystad, A; Nyström, Bertil

doi:10.1016/0195-6701(88)90083-7

Cited by 97 publications

(51 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Controversy exists as to whether body washes are used for one day pre-operatively, five days pre-operatively or if they should be used on a daily basis on everyone who is admitted to a surgical intensive care unit. In addition, there is also controversy on whether or not to use an antiseptic or just a detergent [38]. …”

Section: Reviewmentioning

confidence: 99%

The use of surveillance and preventative measures for methicillin-resistant staphylococcus aureus infections in surgical patients

Kavanagh

Calderon

Saman

et al. 2014

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

The Agency for Healthcare Research & Quality (AHRQ) found that Methicillin-resistant Staphylococcus aureus (MRSA) is associated with up to 375,000 infections and 23,000 deaths in the United States. It is a major cause of surgical site infections, with a higher mortality and longer duration of care than Methicillin-sensitive Staphylococcus aureus. A multifactorial bundled approach is needed to control this epidemic, with single interventions unlikely to have a significant impact on attenuating MRSA infection rates.Active surveillance has been studied in a wide range of surgical patients, including surgical intensive care and non-intensive care units; cardiac, vascular, orthopedic, obstetric, head and neck cancer and gastrostomy patients. There is sufficient evidence demonstrating a beneficial effect of surveillance and eradication prior to surgery to recommend its use on an expanded basis.Studies on MRSA surveillance in surgical patients that were published over the last 10 years were reviewed. In at least five of these studies, the MRSA colonization status of patients was reported to be a factor in preoperative antibiotic selection, with the modification of treatment regiments including the switching to vancomycin or teicoplanin in MRSA positive preoperative patients. Several authors also used decolonization protocols on all preoperative patients but used surveillance to determine the duration of the decolonization.Universal decolonization of all patients, regardless of MRSA status has been advocated as an alternative prevention protocol in which surveillance is not utilized. Concern exists regarding antimicrobial stewardship. The daily and universal use of intranasal antibiotics and/or antiseptic washes may encourage the promotion of bacterial resistance and provide a competitive advantage to other more lethal organisms.Decolonization protocols which indiscriminately neutralize all bacteria may not be the best approach. If a patient's microbiome is markedly challenged with antimicrobials, rebuilding it with replacement commensal bacteria may become a future therapy.Preoperative MRSA surveillance allows the selection of appropriate prophylactic antibiotics, the use of extended decolonization protocols in positive patients, and provides needed data for epidemiological studies.

show abstract

Section: Reviewmentioning

confidence: 99%

The use of surveillance and preventative measures for methicillin-resistant staphylococcus aureus infections in surgical patients

Kavanagh

Calderon

Saman

et al. 2014

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

show abstract

“…In some studies, several antiseptic preoperative showers or baths have been associated with reduced postoperative infection rates, but in others, no differences were observed [49][50][51][52][53]. Whole-body washing with chlorhexidine-containing detergent has been shown to reduce infections among neonates [54], but risks of absorption and safety preclude this practice from routine care.…”

Section: Does Skin Cleansing Reduce Risk Of Infection?mentioning

confidence: 99%

Skin Hygiene and Infection Prevention: More of the Same or Different Approaches?

Larson

1999

Clinical Infectious Diseases

268

136

View full text Add to dashboard Cite

The purpose of this article is to review research indicating a link between hand hygiene and nosocomial infections and the effects of hand care practices on skin integrity and to make recommendations for potential changes in clinical practice and for further research regarding hand hygiene practices. Despite some methodological flaws and data gaps, evidence for a causal relationship between hand hygiene and reduced transmission of infections is convincing, but frequent handwashing causes skin damage, with resultant changes in microbial flora, increased skin shedding, and risk of transmission of microorganisms, suggesting that some traditional hand hygiene practices warrant reexamination. Some recommended changes in practice include use of waterless alcohol-based products rather than detergent-based antiseptics, modifications in lengthy surgical scrub protocols, and incorporation of moisturizers into skin care regimens of health care professionals.

show abstract

“…Preoperative shaving of the surgical site the night before an operation is associated with a significantly higher SSI risk than either the use of depilatory agents or no hair removal [16,[33][34][35][36][37][38][39][40][41][42][43][44]. In one study, SSI rates were 5.6% in patients who had hair removed by razor shave compared to a 0.6% rate among those who had hair removed by depilatory or who had no hair removed [45].…”

Section: Preoperative Hair Removalmentioning

confidence: 99%

Surgical Site Infections in Relation to the Timing of Shaving among the Gastrointestinal Emergency Patients through the Midline Incisions- A Randomized Controlled Clinical Trial

Hossain¹

2012

J Med Microb Diagn

View full text Add to dashboard Cite

A comparison of the effects of preoperative whole-body bathing with detergent alone and with detergent containing chlorhexidine gluconate on the frequency of wound infections after clean surgery

Cited by 97 publications

References 8 publications

The use of surveillance and preventative measures for methicillin-resistant staphylococcus aureus infections in surgical patients

The use of surveillance and preventative measures for methicillin-resistant staphylococcus aureus infections in surgical patients

Skin Hygiene and Infection Prevention: More of the Same or Different Approaches?

Surgical Site Infections in Relation to the Timing of Shaving among the Gastrointestinal Emergency Patients through the Midline Incisions- A Randomized Controlled Clinical Trial

Contact Info

Product

Resources

About