Preoperative skin preparation: clinical evaluation of depilatory cream.

Powis, S. J. A.; Waterworth, T A; Arkell, D. G.

doi:10.1136/bmj.2.6045.1166

Cited by 39 publications

(9 citation statements)

References 2 publications

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“…Another observational study showed significant reduction in SSIs when depilation was performed compared to shaving 23 . and yet another study included too few patients and was not considered as evidence in this evaluation 24 …”

Section: Resultsmentioning

confidence: 99%

Preoperative Hair Removal—a Systematic Literature Review

Kjønniksen¹,

Andersen²,

Søndenaa³

et al. 2002

AORN Journal

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This article describes a systematic literature review on whether, how, and when to perform preoperative hair removal. By searching electronic databases and reference lists of relevant articles, team members identified 20 clinical studies that deal with preoperative hair removal. No strong evidence was found to advocate against preoperative hair removal. Furthermore, there was strong evidence to recommend that when hair removal is considered necessary, shaving should not be performed. Instead a depilatory or electric clipping, preferably immediately before surgery, should be used.

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Section: Resultsmentioning

confidence: 99%

Preoperative Hair Removal—a Systematic Literature Review

Kjønniksen¹,

Andersen²,

Søndenaa³

et al. 2002

AORN Journal

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“…or quasi-RCTs[85][86][87][88][89][90][91][92][93][94][95][96][97][98][99] comparing the effects of preoperative hair removal versus no hair removal or different methods of hair removal (shaving, clipping, and depilatory cream) were identified and several meta-analyses were done.The three hair removal methods did not affect the incidence of SSIs compared with no hair removal. The combined ORs were 1•78 (95% CI 0•96-3•29) for shaving, 1•00 (0•06-16•34) for clipping, and 1•02 (0•42-2•49) for depilatory cream.…”

mentioning

confidence: 99%

New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective

Allegranzi¹,

Bischoff

Jonge

et al. 2016

The Lancet Infectious Diseases

669

545

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Surgical site infections (SSIs) are among the most preventable health-care-associated infections and are a substantial burden to health-care systems and service payers worldwide in terms of patient morbidity, mortality, and additional costs. SSI prevention is complex and requires the integration of a range of measures before, during, and after surgery. No international guidelines are available and inconsistencies in the interpretation of evidence and recommendations of national guidelines have been identified. Given the burden of SSIs worldwide, the numerous gaps in evidence-based guidance, and the need for standardisation and a global approach, WHO decided to prioritise the development of evidence-based recommendations for the prevention of SSIs. The guidelines take into account the balance between benefits and harms, the evidence quality, cost and resource use implications, and patient values and preferences. On the basis of systematic literature reviews and expert consensus, we present 13 recommendations on preoperative preventive measures.

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“…In a meta-analysis comparing clipper hair removal, depilation and shaving (113)(114)(115)(116)(117)(118)(119) , the RR of 0.54 (95% CI 0.38-0.78) was significant and the incidence of SSI was significantly lower after clipper hair removal. In the comparison of depilatory cream and shaving, the SSI was lower after the depilatory cream, not significantly (120)(121)(122)(123)(124) (RR 0.52; 95% CI 0.24-1.11). In the comparison between no hair removal and shaving (113,121,(125)(126)(127)(128) , the RR was 0.58 (95% CI 0.34-0.98), which was significant, and the incidence of SSI was low in the absence of hair removal.…”

Section: Rationalementioning

confidence: 90%

The Japan Society for Surgical Infection: guidelines for the prevention, detection, and management of gastroenterological surgical site infection, 2018

Ohge

Mayumi

Haji³

et al. 2020

Surg Today

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Background The guidelines for the prevention, detection, and management of gastroenterological surgical site infections (SSIs) were published in Japanese by the Japan Society for Surgical Infection in 2018. This is a summary of these guidelines for medical professionals worldwide. Methods We conducted a systematic review and comprehensive evaluation of the evidence for diagnosis and treatment of gastroenterological SSIs, based on the concepts of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The strength of recommendations was graded and voted using the Delphi method and the nominal group technique. Modifications were made to the guidelines in response to feedback from the general public and relevant medical societies. Results There were 44 questions prepared in seven subject areas, for which 51 recommendations were made. The seven subject areas were: definition and etiology, diagnosis, preoperative management, prophylactic antibiotics, intraoperative management, perioperative management, and wound management. According to the GRADE system, we evaluated the body of evidence for each clinical question. Based on the results of the meta-analysis, recommendations were graded using the Delphi method to generate useful information. The final version of the recommendations was published in 2018, in Japanese. Conclusions The Japanese Guidelines for the prevention, detection, and management of gastroenterological SSI were published in 2018 to provide useful information for clinicians and improve the clinical outcome of patients.

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Preoperative skin preparation: clinical evaluation of depilatory cream.

Cited by 39 publications

References 2 publications

Preoperative Hair Removal—a Systematic Literature Review

Preoperative Hair Removal—a Systematic Literature Review

New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective

The Japan Society for Surgical Infection: guidelines for the prevention, detection, and management of gastroenterological surgical site infection, 2018

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