Preoperative hair removal and surgical site infections: Network meta-analysis of randomized controlled trials

Journal of Hospital Infection

Volumn 91, Issue 2, 2015, Pages 100-108

  Lefebvre, A ^a   Saliou, P ^b   Lucet, J C ^c   Mimoz, O ^d   Keita Perse, O ^e   Grandbastien, B ^f   Bruyere F ^g,h   Boisrenoult, P ⁱ   Lepelletier, D ^j   Aho Glele L S ^a   Aggoune, M ^k   Aho, L S ^k   Boisrenoul, T P ^k   Bonfait, H ^k   Caus, T ^k   Chadapaud, S ^k   Froesch, M ^k   Guyader, A Le ^k   Lepape, A ^k   Lortat Jacob, A ^k   Roche, P H ^k   Stahl, J P ^k   more..

^a DIJON UNIVERSITY HOSPITAL   (France)

^b BREST UNIVERSITY HOSPITAL   (France)

^c BICHAT HOSPITAL   (France)

^d POITIERS UNIVERSITY HOSPITAL   (France)

^e CENTRE HOSPITALIER PRINCESSE GRACE   (Monaco)

^f LILLE UNIVERSITY HOSPITAL   (France)

^g UNIVERSITY HOSPITAL OF TOURS   (France)

^h UNIVERSITÉ DE TOURS   (France)

ⁱ CENTRE HOSPITALIER DE VERSAILLES   (France)

^j NANTES UNIVERSITY HOSPITAL   (France)

^k NONE

more..

Author keywords

Depilation; Hair; Hygiene; Shaving; Surgical site infection

Indexed keywords

CLINICAL EFFECTIVENESS; EVIDENCE BASED MEDICINE; HAIR CHEMICAL DEPILATION; HAIR CLIPPING; HAIR SHAVING; HIGH RISK PATIENT; HUMAN; INFECTION PREVENTION; INFECTION RISK; INTERMETHOD COMPARISON; MEDICAL PROCEDURES; META ANALYSIS; PREOPERATIVE CARE; PREOPERATIVE HAIR REMOVAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; SURGICAL INFECTION; SYSTEMATIC REVIEW; HAIR REMOVAL; PROCEDURES; SURGICAL WOUND INFECTION;

HAIR REMOVAL; HUMANS; PREOPERATIVE CARE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SURGICAL WOUND INFECTION;

EID: 84940959692     PISSN: 01956701     EISSN: 15322939     Source Type: Journal    
DOI: 10.1016/j.jhin.2015.06.020     Document Type: Review

References (40)

1. Whitehouse J.D., Friedman N.D., Kirkland K.B., Richardson W.J., Sexton D.J. The impact of surgical-site infections following orthopedic surgery at a community hospital and a university hospital: adverse quality of life, excess length of stay, and extra cost. Infect Control Hosp Epidemiol 2002, 23:183-189.
2. Umscheid C.A., Mitchell M.D., Doshi J.A., Agarwal R., Williams K., Brennan P.J. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs. Infect Control Hosp Epidemiol 2011, 32:101-114.
3. Kusachi S., Kashimura N., Konishi T., et al. Length of stay and cost for surgical site infection after abdominal and cardiac surgery in Japanese hospitals: multi-center surveillance. Surg Infect (Larchmt) 2012, 13:257-265.
4. Broekman M.L., van Beijnum J., Peul W.C., Regli L. Neurosurgery and shaving: what's the evidence?. J Neurosurg 2011, 115:670-678.
5. Tanner J., Norrie P., Melen K. Preoperative hair removal to reduce surgical site infection. Cochrane Database Syst Rev 2011, (11):CD004122.
6. Guyatt G.H., Oxman A.D., Vist G., et al. GRADE guidelines: 4. Rating the quality of evidence - study limitations (risk of bias). J Clin Epidemiol 2011, 64:407-415.
7. StataCorp L.P. Stata/SE 10.0 2007, Stata Corp., College Station, TX.
8. Harris R., Bradburn M., Deeks J., Harbord R., Altman D., Sterne J. metan: fixed- and random-effects meta-analysis. STATA J 2008, 8:3.
9. DerSimonian R., Laird N. Meta-analysis in clinical trials. Controlled Clin Trials 1986, 7:177-188.
10. R Core Team (Internet) R: a language and environment for statistical computing 2014, R Foundation for Statistical Computing, Vienna, Austria, Available at:, [last accessed July 2015]. http://www.R-project.org.
11. Rücker G., Schwarzer G., Krahn U., König J. Netmeta: Network meta-analysis with R 2014, Version 0.6-0.
12. Rücker G. Network meta-analysis, electrical networks and graph theory. Res Syn Meth 2012, 3:312-324.
13. Neupane B., Richer D., Bonner A., Kibret T., Beyene J. Network meta-analysis using R: a review of currently available automated packages. PLoS One 2014, 9:e115065.
14. Krahn U., Binder H., König J. A graphical tool for locating inconsistency in network meta-analyses. BMC Med Res Methodol 2013, 13:35.
15. Moher D., Liberati A., Tetzlaff J., Altman D.G. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009, 6:e1000097.
16. Kattipattanapong W., Isaradisaikul S., Hanprasertpong C. Surgical site infections in ear surgery: hair removal effect; a preliminary, randomized trial study. Otolaryngol Head Neck Surg 2013, 148:469-474.
17. Hoe N.Y., Nambiar R. Is preoperative shaving really necessary?. Ann Acad Med Singapore 1985, 14:700-704.
18. Court-Brown C.M. Preoperative skin depilation and its effect on postoperative wound infections. J R Coll Surg Edinb 1981, 26:238-241.
19. Abouzari M., Sodagari N., Hasibi M., Behzadi M., Rashidi A. Re: Nonshaved cranial surgery in black Africans: a short-term prospective preliminary study (Adeleye and Olowookere, Surg Neurol 2008;69-72). Effect of hair on surgical wound infection after cranial surgery: a 3-armed randomized clinical trial. Surg Neurol 2009, 71:261-262. author reply 2.
20. Celik S.E., Kara A. Does shaving the incision site increase the infection rate after spinal surgery?. Spine (Phila PA 1976) 2007, 32:1575-1577.
21. Nascimento J., Caporossi C., Marra J., Botosso R. Influence of preoperative shaving in wound infections of clean operations. Arquivos Brasileiros de Medicina 1991, 65:157-159.
22. Rojanapirom S., Danchaivijitr S. Pre-operative shaving and wound infection in appendectomy. J Med Assoc Thai 1992, 75(Suppl. 2):20-23.
23. Alexander J.W., Fischer J.E., Boyajian M., Palmquist J., Morris M.J. The influence of hair-removal methods on wound infections. Arch Surg 1983, 118:347-352.
24. Balthazar E.R., Colt J.D., Nichols R.L. Preoperative hair removal: a random prospective study of shaving versus clipping. South Med J 1982, 75:799-801.
25. Grober E.D., Domes T., Fanipour M., Copp J.E. Preoperative hair removal on the male genitalia: clippers vs. razors. J Sex Med 2013, 10:589-594.
26. Ko W., Lazenby W.D., Zelano J.A., Isom O.W., Krieger K.H. Effects of shaving methods and intraoperative irrigation on suppurative mediastinitis after bypass operations. Ann Thorac Surg 1992, 53:301-305.
27. Meiland H.T., Feder E., Roseno H. [Episiotomy infections after shaving or cutting.]. Ugeskr Laeger 1986, 148:2481-2482.
28. Taylor T., Tanner J. Razors versus clippers. A randomised controlled trial. Br J Perioper Nurs 2005, 15:518-520. 522-523.
29. Adisa A.O., Lawal O.O., Adejuyigbe O. Evaluation of two methods of preoperative hair removal and their relationship to postoperative wound infection. J Infect Dev Ctries 2011, 5:717-722.
30. Breiting V., Hellberg S. [Chemical depilation as an alternative to shaving. A comparative study of preoperative skin preparation.]. Ugeskr Laeger 1981, 143:1646-1647.
31. Goeau-Brissonniere O., Coignard S., Merao A.P., Haicault G., Sasako M., Patel J.C. [Preoperative skin preparation. A prospective study comparing a depilatory agent in shaving.]. Presse Med 1987, 16:1517-1519.
32. Powis S.J., Waterworth T.A., Arkell D.G. Preoperative skin preparation: clinical evaluation of depilatory cream. Br Med J 1976, 2(6045):1166-1168.
33. Seropian R., Reynolds B.M. Wound infections after preoperative depilatory versus razor preparation. Am J Surg 1971, 121:251-254.
34. Thorup J., Fischer A., Lindenberg S., Schjorring-Thyssen U., Jensen J., Burcharth F. [Chemical depilation versus shaving. A controlled clinical trial of self-depilation in ambulatory surgery.]. Ugeskr Laeger 1985, 147:1108-1110.
35. Thur de Koos P., McComas B. Shaving versus skin depilatory cream for preoperative skin preparation. A prospective study of wound infection rates. Am J Surg 1983, 145:377-378.
36. Pan A., Ambrosini L., Patroni A., et al. Adherence to surgical site infection guidelines in Italian cardiac surgery units. Infection 2009, 37:148-152.
37. Husted H., Gromov K., Malchau H., Freiberg A., Gebuhr P., Troelsen A. Traditions and myths in hip and knee arthroplasty. Acta Orthop 2014, 85:548-555.
38. Stulberg J., Delaney C., Neuhauser D., Aron D., Fu P., Koroukian S. Adherence to surgical care improvement project measures and the association with postoperative infections. JAMA 2010, 303:2479-2485.
39. Leng P., Huang W.L., He T., Wang Y.Z., Zhang H.N. Outbreak of Serratia marcescens postoperative infection traced to barbers and razors. J Hosp Infect 2015, 89:46-50.
40. Société Française d'Hygiène Hospitalière Gestion préopératoire du risque infectieux. Hygiènes 2013, 21:116.