Document Detail


Differences in intraoperative prep solutions: a retrospective chart review.
MedLine Citation:
PMID:  23622828     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Surgical site infections (SSIs) are the most common type of health care-associated infection in surgical patients. We wanted to identify which intraoperative prep solution used in our health network for adult open abdominal surgical procedures resulted in the lowest incidence of SSI 30 days after surgery. In addition, we wanted to know specifically how parachoroxylenol compared with chlorhexidine gluconate, povidone-iodine, and 0.7% iodine and 74% isopropyl alcohol as an intraoperative prep solution. We conducted a retrospective medical record review of 162 consecutive patients ages 18 years and older who had undergone elective open abdominal procedures from December 2008 to December 2010 at four acute care community hospitals within an integrated, tertiary health network in the southeastern United States. No SSIs occurred after procedures in which parachoroxylenol intraoperative prep solution was used (n = 71), whereas five SSIs occurred after procedures in which other prep solutions (ie, chlorhexidine gluconate [no SSIs], povidone-iodine [two SSIs], and 0.7% iodine and 74% isopropyl alcohol [three SSIs]) were used (n = 91). A chi-square test indicated a significant difference in the incidence of SSIs among patients prepped with parachoroxylenol intraoperative prep solution compared to patients prepped with the other solutions.
Authors:
Jennifer Zinn; Jeanne B Jenkins; Beverly Harrelson; Cynthia Wrenn; Elisa Haynes; Nicole Small
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AORN journal     Volume:  97     ISSN:  1878-0369     ISO Abbreviation:  AORN J     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372403     Medline TA:  AORN J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  552-8     Citation Subset:  IM; N    
Copyright Information:
Copyright © 2013 AORN, Inc. Published by Elsevier Inc. All rights reserved.
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