Edmiston Charles E, Okoli Obi, Graham Mary Beth, Sinski Sharon, Seabrook Gary R
Department of Surgery, Medical College of Wisconsin, Milwaukee, USA.
AORN J. 2010 Nov;92(5):509-18. doi: 10.1016/j.aorn.2010.01.020.
Surgical site infections are associated with significant patient morbidity and mortality and are the third most frequently reported health care-associated infection. A suggested risk reduction strategy has been the preadmission shower or skin cleansing with chlorhexidine gluconate (CHG). Although older clinical trials question the clinical efficacy of cleansing with CHG, recent evidence-based scientific and clinical studies support two types of CHG application (ie, a 2% CHG-coated cloth or 4% CHG soap) using a standardized, timed process before hospital admission as an effective strategy for reducing the risk of postoperative surgical site infection.
手术部位感染与患者的高发病率和死亡率相关，是报告频率第三高的医疗保健相关感染。一种建议的降低风险策略是入院前淋浴或用葡萄糖酸氯己定（CHG）进行皮肤清洁。尽管早期临床试验对使用CHG清洁的临床疗效提出质疑，但最近基于证据的科学和临床研究支持在入院前使用标准化的定时流程应用两种类型的CHG（即2%的CHG涂层布或4%的CHG肥皂），作为降低术后手术部位感染风险的有效策略。
