The effect of nurse-performed preoperative skin preparation on postoperative surgical site infections in abdominal surgery

Journal of Clinical Nursing
Berna DizerZeynep Senses

Abstract

To determine the effect of preoperative skin preparation procedures performed by nurses on postoperative surgical site infection in abdominal surgery. Despite all interventions, postoperative SSIs still greatly affect mortality and morbidity. This is an experimental study. Procedures developed for nurse application of preoperative skin preparations were tested on a control group (n = 39) and study group (n = 43). Only clinical routines for preoperative skin preparation were performed on the control group patients. Control group members' skins were mostly prepared by shaving with a razor blade (41%). For the study group members, the researchers used the preoperative skin preparation procedure. Clippers were used to prepare 55.8% of study group members while 44.2% of them were not treated with the clipper because their wounds were clean. As a requirement of the procedure, all members of the study group had a chlorhexidine bath at least twice after being hospitalised and at least once a night before the operation under controlled conditions. In the group where chlorhexidine bath was not applied, the infection risk was found to be 4.76 times (95%CI = 1.20-18.83) greater even after corrections for age and gender had been made. The d...Continue Reading

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Citations

Mar 16, 2011·Langenbeck's Archives of Surgery·Karolin GrafIris Freya Chaberny
Apr 23, 2013·Journal of General Internal Medicine·Bevin CohenElaine Larson
Apr 21, 2012·Dermatologic Therapy·Lance D WoodElizabeth M Billingsley
May 9, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Chris KamelJohn M Embil
Apr 28, 2017·Surgical Infections·Paul K Waltz, Brian S Zuckerbraun
Dec 21, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Julia A KatarincicRoss Feller
Mar 3, 2011·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Deana SievertMargo A Halm
Nov 16, 2010·Annals of the Royal College of Surgeons of England·Alistair SharplesJohn Lengyel
Nov 27, 2014·British Journal of Nursing : BJN·Elisabet EdströmMaria Henricson
Aug 27, 2021·The Cochrane Database of Systematic Reviews·Judith Tanner, Kate Melen

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