Effects of pre-operative bath in the prevention of surgical infection: pilot clinical stud

pilot clinical study

Authors

  • Lúcia Maciel de Castro Franco Universidade Federal de Minas Gerais, Escola de Enfermagem, Programa de Pós-Graduação, Belo Horizonte MG , Brazil, Enfermeira. Doutoranda em Enfermagem. Universidade Federal de Minas Gerais-UFMG, Escola de Enfermagem - EE, Programa de Pós-Graduação - PPG. Belo Horizonte, MG - Brasil, Universidade Federal de Minas Gerais
  • André Gaudêncio Ignácio de Almeida Hospital Governador Israel Pinheiro, Serviço de Ortopedia e Traumatologia, Belo Horizonte MG , Brazil, Médico Ortopedista. Especialista em Cirurgia do Quadril. Hospital Governador Israel Pinheiro, Serviço de Ortopedia e Traumatologia. Belo Horizonte, MG - Brasil
  • Guydo Marques Horta Duarte UFMG, Faculdade de Medicina, PPG, Belo Horizonte MG , Brazil, Médico Ortopedista. Doutorando em Ciências Aplicadas à Cirurgia e Oftalmologia. UFMG, Faculdade de Medicina, PPG; Hospital Governador Israel Pinheiro, Serviço de Ortopedia e Traumatologia. Belo Horizonte, MG - Brasil, Universidade Federal de Minas Gerais
  • Luiza Lamounier UFMG, EE, Belo Horizonte MG , Brazil, Acadêmica do Curso de Enfermagem. UFMG, EE, Bolsista da FAPEMIG. Belo Horizonte, MG - Brasil, Universidade Federal de Minas Gerais
  • Tatiana Saraiva Pinto UFMG, EE, Belo Horizonte MG , Brazil, Acadêmica do Curso de Enfermagem. UFMG, EE, Bolsista da FAPEMIG. Belo Horizonte, MG - Brasil, Universidade Federal de Minas Gerais
  • Priscila Ferreira Souza Pereira Centro Universitário UNA, Belo Horizonte MG , Brazil, Biomédica. Especialista em Auditoria e Gestão da Qualidade em Saúde. Centro Universitário UNA. Belo Horizonte, MG - Brasil, Centro Universitário UNA
  • Tânia Couto Machado Chianca UFMG, EE, Belo Horizonte MG , Brazil, Enfermeira. Doutora em Enfermagem. Professora Titular. UFMG, EE. Belo Horizonte, MG - Brasil, Universidade Federal de Minas Gerais
  • Flávia Falci Ercole UFMG, EE, Belo Horizonte MG , Brazil, Enfermeira. Doutora em Enfermagem, Professora Associada. UFMG, EE. Belo Horizonte, MG - Brasil, Universidade Federal de Minas Gerais

DOI:

https://doi.org/10.5935/1415-2762.20170063

Keywords:

Baths, Perioperative Nursing, Surgical Wound Infection, Arthroplasty, Replacement, Hip, Anti-Infective Agents, Local

Abstract

Periprosthetic joint infections in hip arthroplasties are a major challenge for the patient, staff, and health institutions. A randomized, controlled, blinded pilot clinical trial to evaluate the effect of the preoperative bath using 4% chlorhexidine gluconate solutions, polyvinylpyrrolidone iodine (PVP-I)10% degermant or non-antiseptic soap in the prevention of surgical site infection (SSI), in patients undergoing hip arthroplasty surgery. The sample consisted of 45 adult patients submitted to elective total hip arthroplasty, who had no reports of infection at the surgical site and allergy to the solutions used, and who were not nasal carriers of Staphylococcus aureus. The groups of patients randomized presented homogeneity in relation to the epidemiological and clinical characteristics. The SSI rate between the groups was 20% for chlorhexidine, 6.7 for PVP-I and soap without antiseptic, respectively. No statistical differences were found between the three intervention groups. Caution is needed when recommending preoperative chlorhexidine bath as a strategy to reduce surgical site infection. Clinical Trials nº NCTO3001102.

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References

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Published

2018-03-05

Issue

Vol. 21 (2017)

Section

Research

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Copyright (c) 2018 Reme: Revista Mineira de Enfermagem

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How to Cite

1.
Effects of pre-operative bath in the prevention of surgical infection: pilot clinical stud: pilot clinical study. REME Rev Min Enferm. [Internet]. 2018 Mar. 5 [cited 2026 Feb. 5];21. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/49848

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