Edmiston Charles E, Leaper David
Department of Surgery (Division of Vascular Surgery), Research Laboratory, Medical College of Wisconsin, Milwaukee, WI, USA.
Institute of Skin Integrity and Infection Prevention, University of Huddersfield, Huddersfield, UK.
J Infect Prev. 2017 Nov;18(6):311-314. doi: 10.1177/1757177417714873. Epub 2017 Jul 26.
Showering preoperatively with chlorhexidine gluconate is an issue that continues to promote debate; however, many studies demonstrate evidence of surgical site infection risk reduction. Methodological issues have been present in many of the studies used to compile guidelines and there has been a lack of standardisation of processes for application of the active agents in papers pre-2009. This review and commentary paper highlights the potential for enhancing compliance with this low-risk and low-cost intervention and provides some guidance for enhancing implementation of preoperative showering with both chlorhexidine in solution and impregnated wipes.
术前用葡萄糖酸氯己定沐浴仍是一个不断引发争议的问题；然而，许多研究表明有降低手术部位感染风险的证据。用于制定指南的许多研究中存在方法学问题，并且在2009年之前的论文中，活性剂应用流程缺乏标准化。这篇综述与评论文章强调了提高对这种低风险、低成本干预措施依从性的可能性，并为加强术前使用溶液型氯己定和浸渍擦拭巾沐浴的实施提供了一些指导。
