Abstract

Comparative Effect on Skin Bacterial Counts of Surgical Skin Preparations, After Preoperative Showering with Anionic and Cationic Soaps

Highlights

  • Surgical site infections (SSIs) occur in approximately 2%-5% of patients who undergo clean extra abdominal surgeries, such as thoracic and orthopedic surgery, and in up to 20% of patients who undergo “open” intra-abdominal surgery interventions [2,3]

  • The graphs below show the average skin bacterial counts for the 2 concentrations of Chlorhexidine Gluconate (CHG) when used with Anionic and Cationic soaps (Graph 2)

  • Graph 2: The graphs shows the average skin bacterial counts for the 2 concentrations of CHG when used with Anionic and Cationic soaps

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Summary

Introduction

Surgical site infections (SSIs) occur in approximately 2%-5% of patients who undergo clean extra abdominal surgeries, such as thoracic and orthopedic surgery, and in up to 20% of patients who undergo “open” intra-abdominal surgery interventions [2,3]. They can lead to increased morbidity and mortality and are associated with prolonged hospital stay and greater hospital costs [2,3,4,5]. Procedures that came under significant scrutiny in both the 1999 and 2017 USCDC documents, were the need for patients to pre-operative shower and, the preparation of the skin immediately prior to surgery in the operating room. The USCDC do recommend the skin disinfectant chemicals to be used, there is no mention of the type of soap that should be used for the preoperative shower

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