Practical Recommendations for Preoperative Skin Antisepsis

• Álvarez, Carlos Arturo ; Guevara, Cesar Ernesto ^[6] ; Valderrama, Sandra Liliana ^[1] ; Sefair, Carlos Fernando ^[2] ; Cortes, Jorge Alberto ^[3] ; Jimenez, María Fernanda ; Soria, Carmen Gabriela ^[4] ; Cuellar, Luis Ernesto ^[5]
  1. [1] Hospital Universitario San Ignacio

     Hospital Universitario San Ignacio

     Colombia

     
  2. [2] Universidad del Rosario

     Universidad del Rosario

     Colombia

     
  3. [3] Universidad Nacional de Colombia

     Universidad Nacional de Colombia

     Colombia

     
  4. [4] Universidad Católica de Santiago de Guayaquil

     Universidad Católica de Santiago de Guayaquil

     Guayaquil, Ecuador

     
  5. [5] Universidad Nacional Federico Villarreal

     Universidad Nacional Federico Villarreal

     Perú

     
  6. [6] Clinical Surgery Chief La Colina.

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• Localización: Infectio: Revista de la Asociación Colombiana de Infectología, ISSN-e 2422-3794, ISSN 0123-9392, Vol. 22, Nº. 1, 2018
• Idioma: español
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• Resumen

  • 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.