A bacteriological evaluation of a programme for preoperative total body-washing with chlorhexidine gluconate performed by patients undergoing orthopaedic surgery
✍ Scribed by Bo R. Bergman; Staffan Seeberg
- Publisher
- Springer
- Year
- 1979
- Tongue
- English
- Weight
- 283 KB
- Volume
- 94
- Category
- Article
- ISSN
- 1434-3916
No coin nor oath required. For personal study only.
✦ Synopsis
Twenty-eight orthopaedic patients were taught to wash their entire bodies with chlorhexidine gluconate on two consecutive days preoperatively, starting in their homes.
The operation field was also washed a third time. A bacteriological evaluation was performed using contact plates A significant reduction of the skin flora, including Staph aureus, was registered No adverse side effects of total body-washing were observed.
Zusammenfassung 28 allgemeinorthopidische Patienten erhielten die Anweisung, zwei konsekutive Tage den ganzen K 6 rper mit Chlorhexidingluconat zu waschen, und zwar vor der Operation im Heim des Patienten.
Die Wundstelle wurde au Berdem ein drittes Mal gewaschen Eine bakteriologische Auswertung wurde mittels Kontakt-Platten durchgefiihrt Ermittelt wurde dabei eine merkbare Reduzierung der Hautflora einschliel 3 lich Staph aureus Es konnten keine ungiinstigen Nebenwirkungen der Krperwasche festgestellt werden.
Postoperative wound infections are a much feared complication of orthopaedic surgery, not least total arthroplasty of the knee or hipjoint Early infections in these cases are caused almost exclusively by Staph. aureus (Ericson et al , 1973) In a study at Sahlgrenska sjukhuset in Gothenburg, bacteria from the orthopaedic patient's specific environment-from the operation theatre or aftercare environment-could not be traced in patients with Staph aureus infections. However, in a few cases, Staph aureus with the same phage type was isolated before operation from the patient's nose and/or skin It was concluded that the