Reducing the Rate of Surgical Site Infections After Breast Surgery With the Use of Larger Volumes of 4% Chlorhexidine Gluconate Solution as Preoperative Antiseptic Showering

Persichino, Jon; Lee, Hayley; Sutjita, Made; Talavera, Karla; San-Agustin, Glenn; Gnass, Silvia

doi:10.1017/ice.2016.293

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…17 Both simple showering or showering with chlorhexidine solution are effective. 18 In many centres of the world it has become integeral part of preoperative care in high profile surgeries like onco surgery, coronary by pass etc. 19,20…”

Section: Methodsmentioning

confidence: 99%

Comparison of Early Versus Delayed Showering on Post-Operative Wound Infections

Abbasi¹,

Basit²,

Farooq³

et al. 2021

J. Bahria Univ. Med. Dent. Coll.

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Objectives: To compare frequency of SSIs with and without early showering after clean and clean contaminated surgical wounds. Study Design and Setting: Randomized controlled trial was conducted at Department of Surgery. HIT Hospital, Taxila from June 2020 to December 2020. Methodology: A total of 130 participants were recruited after taking informed consent. After clean and clean-contaminated surgery, first group was subjected to early showering (48 hours after surgery) while second group was not allowed showering until removal of stiches. Both groups were compared in terms of SSIs. Data was entered into SPSS version 25. The mean and standard deviation were used for the expression of continuous variables while frequency and proportion were used for qualitative variables. Both groups were compared by independent sample t test and chi square test. A p value of <0.05 was considered statistically significant. Results: The mean age of the patients was 39.92 ± 11.42 years and there was male gender dominancy i.e. 74 (56.9%) were males while 56 (43.1%) were females. Clean surgeries were 81 (62.3%) and clean-contaminated proportion was 49 (37.7%). Collectively, 12 (9.2%) patients developed SSIs during clinical followup. There was no difference between groups in terms of age, gender, and wound types (p values 0.680, 0.157 and 0.587 respectively). In shower group, 3 (4.6%) and in nonshower group, 9 (13.8%) patients developed SSIs (p value 0.069). Conclusion: Early postoperative showering can be implemented safely in clean and clean contaminated surgical wounds to minimize SSIs. The results should be evaluated in large RCTs

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Section: Methodsmentioning

confidence: 99%

Comparison of Early Versus Delayed Showering on Post-Operative Wound Infections

Abbasi¹,

Basit²,

Farooq³

et al. 2021

J. Bahria Univ. Med. Dent. Coll.

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“…In a study involving patients performing preoperative bathing before undergoing mastectomies, researchers replaced 15‐mL antiseptic soap packages with 118‐mL bottles of antiseptic solution. The larger volumes of antiseptic resulted in a significant reduction in mastectomy SSI rates 8 . In another study, researchers asked participants to complete a two‐ or three‐shower preoperative bathing regimen.…”

Section: Developing a Preoperative Bathing Protocolmentioning

confidence: 99%

Clinical Issues—June 2021

deKay¹,

Wright²

2021

AORN Journal

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THIS MONTH Selecting an antiseptic skin preparation agent according to the patient’s skin pigmentation Key words: preoperative patient skin antisepsis, surgical site marking pen, Fitzpatrick skin type scale, tinted antiseptic, ink visibility. Developing a preoperative bathing protocol Key words: preoperative bathing protocol, preoperative showering regimen, antiseptic soap, antiseptic solution, patient education. Decolonizing health care personnel Key words: methicillin-resistant Staphylococcus aureus (MRSA), multidrug-resistant organism (MDRO), colonization, transmission, nasal decolonization. Composition of bone cement and precautions for perioperative personnel Key words: bone cement, absorption exposure, methyl methacrylate (MMA), occupational hazards, personal protective equipment (PPE).

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Effectiveness and safety of chlorhexidine gluconate double-cleansing for surgical site infection prevention in neonatal intensive care unit surgical patients

Kwon,

Cho

2024

Ann Surg Treat Res

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Reducing the Rate of Surgical Site Infections After Breast Surgery With the Use of Larger Volumes of 4% Chlorhexidine Gluconate Solution as Preoperative Antiseptic Showering

Cited by 3 publications

References 8 publications

Comparison of Early Versus Delayed Showering on Post-Operative Wound Infections

Comparison of Early Versus Delayed Showering on Post-Operative Wound Infections

Clinical Issues—June 2021

Effectiveness and safety of chlorhexidine gluconate double-cleansing for surgical site infection prevention in neonatal intensive care unit surgical patients

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