Characteristics of the pre-surgical preparation of the skin in surgical interventions

• Aparicio, V. D. ^[1] ; Baccega, F. M. ^[1] ; Navarro, H. C ^[1] ; Calisaya, S. L. ^[1] ; Miana, V. V. ^[1]
  1. [1] Universidad Abierta Interamericana

     Universidad Abierta Interamericana

     Argentina

     
• Localización: Interamerican Journal of Health Sciences (IJHS), ISSN-e 2953-3724, Vol. 3, Nº. 0, 2023
• Idioma: inglés
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• Resumen

  • Introduction: The pre-surgical bath is indicated prior to any surgery. There are different preparation protocols, with the purpose of removing the bacteria and, thus, reducing the infection of the surgical wound. Objective: to describe the characteristics of the pre-surgical preparation carried out by the nursing staff in patients undergoing surgery at the Sirio Libanés Hospital in the Autonomous City of Buenos Aires. Materials and Methods: This study has a mixed approach, Observational, descriptive, non-experimental, cross-sectional design and prospective analysis. For the qualitative variables, non-participant observation was used for and a checklist with follow-up of postoperative patients for up to 72 hours, added to a Google Forms survey for the quantitative variable. Results: they indicated that 76.7% of professionals perform this procedure the same day of surgery and the most used antiseptic, with 57%, was 2% Chlorhexidine cloth, with 38% presenting surgical site infection. 90% of staff did not perform hair removal. The heterogeneity of skin preparation protocols and variable compliance rates makes it difficult to isolate preoperative preparation as the main determinant for infection prevention in surgical patients. Conclusion: currently, there is a lack of research on the influence of pre-surgical skin preparation, the use of chlorhexidine, hair removal and the value of the role of nursing staff, evidencing the importance of having protocols and constant staff training.