A fresh look at preoperative body washing

Tanner, Judith; Gould, Dinah; Jenkins, Philip; Hilliam, Rachel; Mistry, Neetesh; Walsh, Stephen

doi:10.1177/1757177411428095

Cited by 18 publications

(11 citation statements)

References 11 publications

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“…Chlorhexidine solutions have been shown to be superior to soap-based solutions in reducing bacterial colony counts in the axilla and groin of healthy volunteers. (12) All of our patients are optimised preoperatively via chest physiotherapy and improved nutritional intake, with the assistance of our department's allied health staff. Intraoperative infection risks are minimised by reducing movement in and out of the operating theatre.…”

Section: A 2bmentioning

confidence: 99%

Palliative surgery for cervical spine metastasis

Rao¹,

Tiruchelvarayan²,

Lee³

2014

smedj

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INTRODUCTIONThe present study aimed to assess the immediate/early clinical outcomes and surgical results of 11 consecutive patients who underwent palliative cervical spine surgery for symptomatic spinal metastases. METHODSThis single-surgeon retrospective case series analysed 12 surgical procedures that were performed for symptomatic cervical spinal metastasis in 11 consecutive patients. All surgeries were carried out at Singapore General Hospital, Singapore, from 2007 to 2013. Preoperative medical oncological assessment/staging was performed on each patient -all patients presented with either axial neck pain or neurological deficits, and had no bladder or bowel symptoms. The primary outcomes analysed were postoperative neurological power and improvement in neck pain.RESULTS Anterior (n = 5), posterior (n = 4) and combined (n = 2) surgical approaches were used for decompression and stabilisation. Comparing between pre-and postoperative pain scores (scored according to the visual analog scale), and pre-and postoperative limb power scores (scored according to the Medical Research Council scale for muscle strength), we found that all patients showed improvement in their symptoms. Postoperatively, patients had either improvement or preservation of neurological power, and all patients had a decrease in axial neck pain after surgery. Although there was one case of minor pedicle screw instrumentation malplacement, this did not result in any neurological symptoms. Median survival for the patients was 108 (range 7-1,095) days.CONCLUSION Palliative surgery for cervical spine metastasis is safe with good neurological results, low complication rates, and improvement in neck pain. A multidisciplinary approach involving surgeons, medical oncologists and radiotherapists is needed to optimise patient care and outcome.

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Section: A 2bmentioning

confidence: 99%

Palliative surgery for cervical spine metastasis

Rao¹,

Tiruchelvarayan²,

Lee³

2014

smedj

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“…Ameliyat öncesi duşun cerrahi alan enfeksiyonları üzerindeki etkisinin araştırıldığı bu sistematik derlemede ameliyat öncesi yapılan antiseptikli duş veya banyonun, cerrahi alan enfeksiyonu riskini azaltan bir etkiye sahip olduğunu belirten çalışmaların olduğu görülmüştür [5,9,14,16,17,[22][23][24]. Ayrıca ameliyat öncesi klorheksidin ile duş almanın, cerrahi alan enfeksiyonu riskini azaltabileceğini vurgulayan çalışmalarla da karşılaşılmıştır [7,11,17,19,24]. Yara kapatılmadan önce seyreltilmiş betadine ile yıkamanın veya toz vankomisin kullanımının, cerrahi alan enfeksiyonu insidansını azaltabileceği belirlenmiştir [3].…”

Section: Discussionunclassified

Preoperative antiseptic shower for the prevention of surgical site infections is it effective? A systematic review

Hergül¹,

Yavuz²

2016

Pau Med J

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ÖzetAmaç: Cerrahi alan enfeksiyonları; mortaliteyi, morbiditeyi, hastanede yatış süresini ve maliyeti arttırması bakımından cerrahi servislerinin ciddi bir problemidir. Bu çalışmada; ameliyat öncesi antiseptik duşun, cerrahi alan enfeksiyonlarına etkisi ile ilgili kanıt düzeyi yüksek çalışmaların incelenmesi amaçlanmıştır. Gereç ve Yöntem: Konuyla ilgili 2005 ile 2014 tarihleri arasında yayınlanmış 1034 çalışma incelenmiştir. Araştırmaya dahil edilme kriterlerine uygun toplam 17 yurtdışı yayın çalışma kapsamına alınmış ve karşılaştırma, sınırlılık ve sonuçlar açısından değerlendirilmiştir. Bulgular: Bu sistematik inceleme sonunda ameliyat öncesi yapılan antiseptikli duş veya banyonun, cerrahi alan enfeksiyonu riskini azaltan bir etkiye sahip olduğunu belirten çalışmaların olduğu görülmüştür. Vücut temizleme ürünlerinin güvenliği ve etkinliğinin, uygun zamanlama ve uygulama sayısı ile ilişkili olduğu ortaya konulmuştur. Ayrıca klorheksidin ile ameliyat öncesi duş alan hastalarda; cerrahi alan enfeksiyonunun görülme oranının, diğer malzemelere göre daha az olduğu görülmüştür. Sonuç: Uygun zamanda, uygun antiseptik solüsyonla yapılacak ameliyat öncesi duşun; cerrahi alan enfeksiyonlarını önlemedeki başarı şansını arttıracağı, maliyeti azaltarak kaliteli sağlık hizmetinin sağlanmasına katkıda bulunacağı düşünülmektedir. Pam Tıp Derg 2016;9(2):171-179Anahtar sözcükler: Ameliyat öncesi antiseptik duş, Ameliyat öncesi banyo, Cerrahi alan enfeksiyonu. AbstractAim: Surgical site infections are serious problems in surgical departments for increasing mortality, morbidity, hospitalization duration, and cost. In this study it was aimed to examine high-level evidence studies regarding the effect of preoperative antiseptic showering on surgical site infections. Instrument and Method: 1034 studies published between the years 2005 and 2014 were examined and 17 international publications were included and evaluated in terms of comparison, limitation and results. Findings: It was seen as a result of this systematic examination that some studies reported that preoperative showering or bathing with antiseptic decreased the risk of surgical site infection. It was also revealed that the safety and efficiency of body cleaning products were related to appropriate timing and number of applying them. Besides, it was also seen that the rate of surgical site infection in patients having preoperative shower with chlorhexidine was lower compared to patients using other products. Result: It is thought that preoperative showering in the appropriate time and with appropriate antiseptic solutions might increase the chance of decreasing surgical site infections and contribute to providing quality health service by decreasing the cost.Pam Med J 2016;9(2):171-179

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“…Preoperative patient bathing before surgery may reduce microbial skin contamination. Therefore, surgical patients should be instructed to shower or bathe with soap or a skin antiseptic on the night before or the day of surgery 3‐14 . No one soap or antiseptic product has been determined to be superior to others for use in preoperative bathing to reduce the potential for SSI.…”

Section: Key Takeaways Discussionmentioning

confidence: 99%

Guideline Implementation: Preoperative Patient Skin Antisepsis

Cowperthwaite¹,

Holm²

2014

AORN Journal

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Performing preoperative skin antisepsis to remove soil and microorganisms at the surgical site may help prevent patients from developing a surgical site infection. The updated AORN "Guideline for preoperative skin antisepsis" addresses the topics of preoperative patient bathing and hair removal, selection and application of skin antiseptics, and safe handling, storage, and disposal of skin antiseptics. This article focuses on key points of the guideline to help perioperative personnel develop protocols for patient skin antisepsis. The key points include the need for the patient to take a preoperative bath or shower and the need for perioperative personnel to manage hair at the surgical site, select a safe and effective antiseptic for the individual patient, perform a safe preoperative surgical site prep, and appropriately store skin antiseptics. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

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A fresh look at preoperative body washing

Cited by 18 publications

References 11 publications

Palliative surgery for cervical spine metastasis

Palliative surgery for cervical spine metastasis

Preoperative antiseptic shower for the prevention of surgical site infections is it effective? A systematic review

Guideline Implementation: Preoperative Patient Skin Antisepsis

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