Preoperative bathing or showering with skin antiseptics to prevent surgical site infection

Cochrane Database of Systematic Reviews

Volumn 2015, Issue 2, 2015, Pages

  Webster, Joan ^a,b,c   Osborne, Sonya ^d  

^a ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

^b GRIFFITH UNIVERSITY   (Australia)

^c UNIVERSITY OF QUEENSLAND   (Australia)

^d QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

CHLORHEXIDINE GLUCONATE; SOAP; CHLORHEXIDINE; TOPICAL ANTIINFECTIVE AGENT;

ANAPHYLAXIS; ANTISEPSIS; CONTACT DERMATITIS; FOLLOW UP; HOSPITAL INFECTION; HOSPITAL READMISSION; HUMAN; MORTALITY; POSTOPERATIVE PERIOD; PRACTICE GUIDELINE; PREOPERATIVE PERIOD; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; SAMPLE SIZE; SEPTIC SHOCK; SEPTICEMIA; SURGICAL INFECTION; SYSTEMATIC REVIEW; ANALOGS AND DERIVATIVES; BATH; DISINFECTION; FEMALE; MALE; META ANALYSIS; PREOPERATIVE CARE; PROCEDURES; RANDOMIZED CONTROLLED TRIAL (TOPIC); SURGICAL WOUND INFECTION;

ANTI-INFECTIVE AGENTS, LOCAL; BATHS; CHLORHEXIDINE; DISINFECTION; FEMALE; HUMANS; MALE; PREOPERATIVE CARE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SOAPS; SURGICAL WOUND INFECTION;

EID: 84934343225     PISSN: None     EISSN: 1469493X     Source Type: Journal    
DOI: 10.1002/14651858.CD004985.pub5     Document Type: Review

References (55)

1. Byrne DJ, Lynch W, Napier A, Davey P, Malek M, Cuschieri A. Wound infection rates: the importance of definition and post-discharge wound surveillance. Journal of Hospital Infection 1994;26(1):37-43.
2. Byrne DJ, Napier A, Cuschieri A. The value of whole body disinfection in the prevention of postoperative wound infection in clean and potentially contaminated surgery. A prospective, randomised, double-blind, placebo-controlled clinical trial. Surgical Research Communications 1992;12(1):43-52.
3. Lynch W, Davey PG, Malek M, Byrne DJ, Napier A. Cost-effectiveness analysis of the use of chlorhexidine detergent in preoperative whole-body disinfection in wound infection prophylaxis. Journal of Hospital Infection 1992;21(3):179-91.
4. Earnshaw JJ, Berridge DC, Slack RC, Makin GS, Hopkinson BR. Do preoperative chlorhexidine baths reduce the risk of infection after vascular reconstruction?. European Journal of Vascular Surgery 1989;3(4):323-6.
5. Hayek LJ, Emerson JM. Preoperative whole body disinfection--a controlled clinical study. Journal of Hospital Infection 1988;11(supplement B):15-9.
6. Hayek LJ, Emerson JM, Gardner AM. A placebo-controlled trial of the effect of two preoperative baths or showers with chlorhexidine detergent on postoperative wound infection rates. Journal of Hospital Infection 1987;10(2):165-72.
7. Randall PE, Ganguli L, Marcuson RW. Wound infection following vasectomy. British Journal of Urology 1983;55(5):564-7.
8. Rotter ML, Larsen SO, Cooke EM, Dankert J, Daschner F, Greco D, et al. A comparison of the effects of preoperative whole-body bathing with detergent alone and with detergent containing chlorhexidine gluconate on the frequency of wound infections after clean surgery. The European Working Party on Control of Hospital Infections. Journal of Hospital Infection 1988;11(4):310-20.
9. Veiga DF, Damasceno CA, Veiga-Filho J, Figueiras RG, Vieira RB, Garcia ES, et al. Randomized controlled trial of the effectiveness of chlorhexidine showers before elective plastic surgical procedures. Infection Control and Hospital Epidemiology 2009;30(1):77-9.
10. Wihlborg O. The effect of washing with chlorhexidine soap on wound infection rate in general surgery. A controlled clinical study. Annales Chirurgiae et Gynaecologiae 1987;76(5):263-5.
11. Ayliffe GA, Noy MF, Babb JR, Davies JG, Jackson J. A comparison of pre-operative bathing with chlorhexidine-detergent and non-medicated soap in the prevention of wound infection. Journal of Hospital Infection 1983;4(3):237-44.
12. Bergman BR, Seeberg S. A bacteriological evaluation of a programme for preoperative total body-washing with chlorhexidine gluconate performed by patients undergoing orthopaedic surgery. Archives of Orthopedic Trauma Surgery 1979;95(1):59-62.
13. Bode LG, Kluytmans JA, Wertheim HF, Bogaers D, Vandenbroucke-Grauls CM, Roosendaal R, et al. Preventing surgical-site infections in nasal carriers of Staphylococcus aureus. New England Journal of Medicine 2010;362(1):9-17.
14. Brandberg A, Holm J, Hammarsten J, Schersten T. Post-operative wound infections in vascular surgery - effect of pre-operative whole body disinfection by shower-bath with chlorhexidine soap. Royal Society of Medicine International Congress an Symposium Series 1980;23:71-5.
15. Colling K, Statz C, Glover J, Banton K, Beilman G. Pre-operative antiseptic shower and bath policy decreases the rate of S. aureus and methicillin-resistant S. aureus surgical site infections in patients undergoing joint arthroplasty. Surgical Infections 2014;Nov 18. [Epub ahead of print]:1-9.
16. Edmiston CE Jr, Okoli O, Graham MB, Sinski S, Seabrook GR. Evidence for using chlorhexidine gluconate preoperative cleansing to reduce the risk of surgical site infection. AORN Journal 2010;92:509-18.
17. Edmiston CE Jr, Krepel CJ, Seabrook GR, Lewis BD, Brown KR, Towne JB. Preoperative shower revisited: can high topical antiseptic levels be achieved on the skin surface before surgical admission?. Journal of the American College of Surgeons 2008;207(2):233-9.
18. Eiselt D. Presurgical skin preparation with a novel 2% chlorhexidine gluconate cloth reduces rates of surgical site infection in orthopaedic surgical patients. Orthopaedic Nursing 2009;28(3):141-5.
19. Enjalbert L, Levade Y, Marchetti P. Comparison of 2 antiseptic soaps used for preoperative showers. Pathologie-biologie (Paris) 1984;32:604-6.
20. Garibaldi RA, Skolnick D, Lerer T, Poirot A, Graham J, Krisuinas E, et al. The impact of preoperative skin disinfection on preventing intraoperative wound contamination. Infection Control and Hospital Epidemiology 1988;9(3):109-13.
21. Jakobsson J, Perlkvist A, Wann-Hansson C. Searching for evidence regarding using preoperative disinfection showers to prevent surgical site infections: a systematic review. World Views on Evidence-Based Nursing 2010;Sep 28. doi: 10.1111/j.1741-6787.2010.00201:1-10.
22. Kaiser AB, Kernodle DS, Barg NL, Petracek MR. Influence of preoperative showers on staphylococcal skin colonization: a comparative trial of antiseptic skin cleansers. Annals of Thoracic Surgery 1988;45:35-8.
23. Kalantar-Hormozi AJ, Davami B. No need for preoperative antiseptics in elective outpatient plastic surgical operations: a prospective study. Plastic and Reconstructive Surgery 2005;116(2):529-31.
24. Leigh DA, Stronge JL, Marriner J, Sedgwick J. Total body bathing with 'Hibiscrub' (chlorhexidine) in surgical patients: a controlled trial. Journal of Hospital Infection 1983;4(3):229-35.
25. Murray MR, Saltzman MD, Gryzlo SM, Terry MA, Woodward CC, Nuber GW. Efficacy of preoperative home use of 2% chlorhexidine gluconate cloth before shoulder surgery. Journal of Shoulder and Elbow Surgery 2011;20:928-33.
26. Newsom SW, Rowland C. Studies on perioperative skin flora. Journal of Hospital Infection 1988;11(Supplement B):21-6.
27. Paulson DS. Efficacy evaluation of a 4% chlorhexidine gluconate as a full-body shower wash. American Journal of Infection Control 1993;21:205-9.
28. Tanner J, Gould D, Jenkins P, Hilliam R, Mistry N, Walsh S. A fresh look at preoperative body washing. Journal of Infection Prevention 2011;13:11-5.
29. Veiga DF, Damasceno CAV, Filho JV, Silva RV Jr, Cordeiro DL, Vieira AM, et al. Influence of povidone-iodine preoperative showers on skin colonization in elective plastic surgery procedures. Reconstructive and Plastic Surgery 2008;121(1):115-8.
30. Wells FC, Newsom SW, Rowlands C. Wound infection in cardiothoracic surgery. Lancet 1983;1(8335):1209-10.
31. Beaudouin E, Kanny G, Morisset M, Renaudin JM, Mertes M, Laxenaire MC, et al. Immediate hypersensitivity to chlorhexidine: literature review. Allergie et Immunologie (Paris) 2004;36:123-6.
32. Brady LM, Thomson M, Palmer MA, Harkness JL. Successful control of MRSA in a cardiothoracic surgical unit. Medical Journal of Australia 1990;152:240-5.
33. Chlebicki MP, Safdar N, O'Horo JC, Maki DG. Preoperative chlorhexidine shower or bath for prevention of surgical site infection: a meta-analysis. American Journal of Infection Control 2013;41:167-73.
34. Cruse PJ, Foord R. The epidemiology of wound infection. A 10-year prospective study of 62, 939 wounds. Surgical Clinics of North America 1980;60(1):27-40.
35. Derde LP, Dautzenberg MJ, Bonten MJ. Chlorhexidine body washing to control antimicrobial-resistant bacteria in intensive care units: a systematic review. Intensive Care Medicine 2012;38:931-9.
36. Higgins JPT, Thompson SG. Quantifying heterogeneity in a meta-analysis. Statistics in Medicine 2002;21:539-58.
37. Higgins JPT, Altman DG, on behalf of the Cochrane Statistical Methods Group and the Cochrane Bias Methods Group. Chapter 8: Assessing risk of bias in included studies.. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org. Chichester: Wiley and Sons Ltd.
38. Jenks PJ, Laurent M, McQuarry S, Watkins R. Clinical and economic burden of surgical site infection (SSI) and predicted financial consequences of elimination of SSI from an English hospital. Journal of Hospital Infection 2014;86:24-33.
39. Kamel C, McGahan L, Polisina J, Miezwinski-Urban M, Embil JM. Preoperative skin antiseptic preparations for preventing surgical site infections: A systematic review. Infection Control and Hospital Epidemiology 2012;33:608-17.
40. Kirkland KB, Briggs JP, Trivette SL, Wilkinson WE, Sexton DJ. The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infection Control and Hospital Epidemiology 1999;20(11):725-30.
41. Koburger T, Hübner NO, Braun M, Siebert J, Kramer A. Standardized comparison of antiseptic efficacy of triclosan, PVP-iodine, octenidine dihydrochloride, polyhexanide and chlorhexidine digluconate. Journal of Antimicrobial Chemotherapy 2010;65:1712-9.
42. Krautheim AB, Jermann TH, Bircher AJ. Chlorhexidine anaphylaxis: case report and review of the literature. Contact Dermatitis 2004;50:113-6.
43. Lefebvre C, Manheimer E, Glanville J, on behalf of the Cochrane Information Retrieval Methods Group. Chapter 6: Searching for studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
44. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infection Control and Hospital Epidemiology 1999;20:250-78.
45. Mollison J, Simpson JA, Campbell MK, Grimshaw JM. Comparison of analytical methods for cluster randomised trials: an example from a primary care setting. Journal of Epidemiology and Biostatistics 2000;5:339-48.
46. Rosenthal VD, Richtmann R, Singh S, Apisarnthanarak A, Kübler A, Viet-Hung N, Ramírez-Wong FM, Portillo-Gallo JH, Toscani J, Gikas A, Dueñas L, El-Kholy A, Ghazal S, Fisher D, Mitrev Z, Gamar-Elanbya MO, Kanj SS, Arreza-Galapia Y, Leblebicioglu H, Hlinková S, Memon BA, Guanche-Garcell H, Gurskis V, Alvarez-Moreno C, Barkat A, Mejía N, Rojas-Bonilla M, Ristic G, Raka L, Yuet-Meng C. Surgical site infections, International Nosocomial Infection Control Consortium (INICC) report, data summary of 30 countries, 2005-2010. Infection Control and Hospital Epidemiology 2013;34:597-604.
47. Rubinstein E. Infectious diseases and litigation. Journal of Hospital Infection 1999;43:Suppl:S165-7.
48. Schunemann HJ, Oxman AD, Vist GE, Higgins JPT, Deeks JJ, Glasziou P, et al. Chapter 12: Interpreting results and drawing conclusions. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org. Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org. Chichester: John Wiley & Sons.
49. Scottish Intercollegiate Guidelines Network (SIGN). Search filters. Available from http://www.sign.ac.uk/methodology/filters.html#random 2011.
50. Smyth ETM, McIlvenny G, Enstone JE, Emmerson AM, Humphreys H, Fitzpatrick F, Davies E. Newcombe RG. Spencer RC. Four Country Healthcare Associated Infection Prevalence Survey 2006: overview of the results. Journal of Hospital Infection 2008;69:230-48.
51. Thomas L, Maillard JY, Lambert RJ, Russell AD. Development of resistance to chlorhexidine diacetate in Pseudomonas aeruginosa and the effect of a "residual" concentration. Journal of Hospital Infection 2000;46:297-304.
52. Wilcox MH, Hall J, Pike H, Templeton PA, Fawley WN, Parnell P, et al. Use of perioperative mupirocin to prevent methicillin-resistant Staphylococcus aureus (MRSA) orthopaedic surgical site infections. Journal of Hospital Infection 2003;54:196-201.
53. Wilson APR, Treasure T, Sturridge MF, Gruneberg RN. A scoring method (ASEPSIS) for postoperative wound infections for use in clinical trials of antibiotic prophylaxis. Lancet 1986;February:311-2.
54. Webster J, Osborne S. Preoperative bathing or showering with skin antiseptics to prevent surgical site infection. Cochrane Database of Systematic Reviews 2006, Issue 2. [DOI: 10.1002/14651858.CD004985.pub3]
55. Webster J, Osborne S. Systematic review and meta-analysis of the use of antiseptics for pre-operative showering to prevent surgical site infection. British Journal of Surgery 2006;93:1335-41.