Interventional Patient Hygiene for the Wound Care Professional

McGuckin, Maryanne; Torress-Cook, Alfonso

doi:10.1097/01.asw.0000360257.38099.68

Cited by 5 publications

(2 citation statements)

References 23 publications

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“…Furthermore, we have found that site of admission and duration of hospital stay have no effect on efficacy of the two solutions. This is contrary to the fact that some other studies demonstrated that site of admission and duration of hospital stay significantly affect skin colonization [10,11,12] . In addition to this, the observed variation in comparable studies involved mainly immune compromised patients admitted in ICU unlike this study which involved relatively immune competent, trauma patients from road traffic accident [11,12] .…”

Section: Discussioncontrasting

confidence: 59%

Efficacy of povidone iodine and alcohol-chlorhexidine gluconate antiseptic solutions in patients undergoing Orthopaedic Surgery

Bhan¹

2019

Nat. J. Clin. Orthop.

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Introduction: Surgical site infection is a well-known and relatively common complication of orthopaedic surgeries. Despite the dreaded effects, there's no common agreed protocol at most of the Hospitals in India. Since the patient's skin is a major source of pathogens that cause surgical-site infection, proper optimization of preoperative skin antisepsis may decrease postoperative infections. Objective: To compare the effect of 10% povidone iodine and 70% ethyl alcohol-0.5% chlorhexidine gluconate antiseptic solutions on lowering bacterial load pre operatively in patients undergoing Orthopaedic Surgery at Ruby Hall Clinic. Methodology: It was a randomized controlled trial, done at Department of Orthopaedics, Ruby Hall Clinic. A total of 44 consecutive patients undergoing orthopaedic surgery in the month of March, 2019 were recruited into the study and randomized to receive one of two antiseptic solutions (10% Povidineiodine or Chlorhexidine gluconate 0.5% with ethyl alcohol 70%). Swabs were taken from incision site and analyzed via qualitative and quantitative analysis before and after skin preparation. Results: The proportion of positive culture was significantly higher in the Povidone iodine group (28.6%) than in the Ethyl alcohol-chlorehxidine gluconate group (4.5%) (p=0.035). 70% Ethyl-Alcohol-0.5% chlorhexidine gluconate solution is more effective than 10% Povidone iodine in Ankle region (p-0.013). Age, sex, type of ward (Private, Semi Private or General) and the duration of hospital stay do not influence efficacy of either 10% Povidone iodine or 70% Ethyl-alcohol-0.5% chlorhexidine gluconate solutions. Conclusion:We suggest that alcohol-based formulation (Eg 0.5% chlorhexidine gluconate-70% ethyl alcohol) be used for skin preparation in Orthopaedic surgery as it is superior to Povidone Iodine.

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Section: Discussioncontrasting

confidence: 59%

Efficacy of povidone iodine and alcohol-chlorhexidine gluconate antiseptic solutions in patients undergoing Orthopaedic Surgery

Bhan¹

2019

Nat. J. Clin. Orthop.

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“…In the Netherlands, a tri‐university research initiative called Basic Care Revisited has been developed to generate evidence for communication, eating, bathing and dressing, and mobility (https://www.basiccarerevisited.nl/). In the USA, Vollman (, ) has developed an intervention around patient hygiene, including oral care, skin cleansing, hand hygiene and incontinence management, which has since been explored by Carr and Benoit () and McGuckin and Torress‐Cook (). In the UK, work has focused both on compassionate care, such as in the policy imperative Compassion in Practice (Cummings & Bennett, ) and, more recently, on fundamental care within acute care settings (Ball et al., ).…”

Section: Introductionmentioning

confidence: 99%