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Practical recommendations for preoperative skin antisepsis
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Álvarez, Carlos Arturo
Guevara, Cesar Ernesto
Valderrama, Sandra Liliana
Sefair, Carlos Fernando
Cortes, Jorge Alberto
Jimenez, María Fernanda
Soria, Carmen Gabriela
Cuellar, Luis Ernesto
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2018
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Abstract
The search for strategies for the reduction of Surgical Site infection (SSI) is a priority, given the impact those infections have on the outcome of the patients. The preoperative patient skin antisepsis, has recently gained greater significance in the prevention of SSI, as one of the critical factors, which can be intervened and can reduce the risk of infection. In recent years, comprehensive investigations have been published, not only dedicated to the comparison of antiseptic solutions, application techniques, but also about the importance of preoperative washing, use of surgical tapes and dressings impregnated with antiseptics, and preoperative shaving. This review outlines the key findings related to the preoperative patient's skin antisepsis and offers a protocol with practical recommendations to be implemented in the institutions of our country. It provides evidence based recommendations about the use of antiseptic solutions (povidone iodine, chlorhexidine, chlorhexidine plus alcohol, etc.) with emphasis on the advantages and disadvantages of each one.
Palabras clave
Antiinfective Agent , Antisepsis , Hand Washing , Health Care Personnel , Human , Infection Prevention , Patient Safety , Preoperative Care , Review , Skin Decontamination , Skin Incision , Surgical Infection
