Preoperative bathing of the surgical site with chlorhexidine for infection prevention: Systematic review with meta-analysis
| Autor: | Gláucia Fernandes Cota, Tatiana Saraiva Pinto, Lúcia Maciel de Castro Franco, Flávia Falci Ercole |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Bathing Epidemiology 030501 epidemiology Placebo Placebos 03 medical and health sciences 0302 clinical medicine Internal medicine Preoperative Care medicine Infection control Humans Surgical Wound Infection 030212 general & internal medicine business.industry Health Policy Incidence Chlorhexidine Public Health Environmental and Occupational Health Surgical wound Baths Jadad scale Surgery Disinfection Infectious Diseases Systematic review Treatment Outcome Meta-analysis Anti-Infective Agents Local 0305 other medical science business medicine.drug |
| Zdroj: | American journal of infection control. 45(4) |
| ISSN: | 1527-3296 |
| Popis: | Background Preoperative bathing with 4% chlorhexidine is recommended as a measure to prevent surgical site infection (SSI) despite uncertainty regarding the effectiveness of the intervention. This review aimed to assess the effect of bathing with 4% chlorhexidine on the prevention of SSIs in clean surgeries compared with bathing with placebo solution or soap. Methods Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews and the Cochrane manual were followed. Sources were MEDLINE and Latin American and Caribbean Health Sciences Literature databases and manual search of references from evaluated studies. We included randomized studies evaluating clean surgical wounds and reporting SSIs after preoperative bathing with 4% chlorhexidine. Results A total of 243 primary studies were identified and 8 were considered methodologically appropriate based on the Jadad Scale. Data were gathered from 10,655 patients. The global SSI rate was 7.2%. The SSI rate for chlorhexidine bathing, placebo, and soap without antiseptic groups was 7.1%, 9.1%, and 5.1%, respectively. A significant reduction in the infection rates was not found in the comparison between patients subjected to preoperative bathing with 4% chlorhexidine versus placebo solution (relative risk, 0.91; 95% confidence interval, 0.76-1.09). The same absence of benefit was observed comparing chlorhexidine bathing with soap (relative risk, 1.06; 95% confidence interval, 0.68-1.66). Conclusions Controlled clinical trials are needed to assess the effect of preoperative chlorhexidine bathing on infection rates following clean surgery before the incorporation of this intervention in health care services. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect