Antisepsis Techniques in Orthopedic Surgical Procedures: A Comparative Study

Abstract Objective To compare antisepsis techniques using chlorhexidine-based soap associated with ethyl alcohol and alcohol-based chlorhexidine or chlorhexidine-based soap associated with alcohol-based chlorhexidine alone in surgical orthopedic procedures. Methods This is a primary, randomized, a...

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Main Authors: Eugênio César Mendes, Mauro de Castro Carvalho, Rafael Baroni Carvalho, Célio Alves Ferraz, Diba Maria S.T. Souza, Taylor B. Schnaider
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda.
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000200156&lng=en&tlng=en
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author Eugênio César Mendes
Mauro de Castro Carvalho
Rafael Baroni Carvalho
Célio Alves Ferraz
Diba Maria S.T. Souza
Taylor B. Schnaider
author_facet Eugênio César Mendes
Mauro de Castro Carvalho
Rafael Baroni Carvalho
Célio Alves Ferraz
Diba Maria S.T. Souza
Taylor B. Schnaider
author_sort Eugênio César Mendes
collection DOAJ
description Abstract Objective To compare antisepsis techniques using chlorhexidine-based soap associated with ethyl alcohol and alcohol-based chlorhexidine or chlorhexidine-based soap associated with alcohol-based chlorhexidine alone in surgical orthopedic procedures. Methods This is a primary, randomized, analytical and single-center clinical trial consisting of 170 patients, who were divided into 2 groups. The combinations chlorhexidine-based soap + alcohol-based chlorhexidine (CSAC) and chlorhexidine-based soap + 70% ethyl alcohol + alcohol-based chlorhexidine (CSAAC) were tested in each group. The cultures were grown in mannitol and eosin methylene blue (EMB) after collection before skin preparation (time point 0), after skin preparation (time point 1) and at the end of the surgical procedure (time point 2). Results There was no statistically significant difference regarding bacterial growth in mannitol and EMB between the groups at any time point. Moreover, there was no statistical difference between groups and time points regarding the type of bacterial growth in culture media. Conclusion There was no difference between these antisepsis techniques for the prevention of surgical site infection in orthopedic procedures; in addition, a protocol containing measures to prevent infection in such procedures was developed.
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spelling doaj.art-96f00ad328614a948658459b51bf126e2024-04-03T10:34:57ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia0102-36161982-437855215616210.1055/s-0039-3400520S0102-36162020000200156Antisepsis Techniques in Orthopedic Surgical Procedures: A Comparative StudyEugênio César MendesMauro de Castro CarvalhoRafael Baroni CarvalhoCélio Alves FerrazDiba Maria S.T. SouzaTaylor B. SchnaiderAbstract Objective To compare antisepsis techniques using chlorhexidine-based soap associated with ethyl alcohol and alcohol-based chlorhexidine or chlorhexidine-based soap associated with alcohol-based chlorhexidine alone in surgical orthopedic procedures. Methods This is a primary, randomized, analytical and single-center clinical trial consisting of 170 patients, who were divided into 2 groups. The combinations chlorhexidine-based soap + alcohol-based chlorhexidine (CSAC) and chlorhexidine-based soap + 70% ethyl alcohol + alcohol-based chlorhexidine (CSAAC) were tested in each group. The cultures were grown in mannitol and eosin methylene blue (EMB) after collection before skin preparation (time point 0), after skin preparation (time point 1) and at the end of the surgical procedure (time point 2). Results There was no statistically significant difference regarding bacterial growth in mannitol and EMB between the groups at any time point. Moreover, there was no statistical difference between groups and time points regarding the type of bacterial growth in culture media. Conclusion There was no difference between these antisepsis techniques for the prevention of surgical site infection in orthopedic procedures; in addition, a protocol containing measures to prevent infection in such procedures was developed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000200156&lng=en&tlng=enchlorhexidineinfectionorthopedicsoperating roomsantisepsissurgical procedures
spellingShingle Eugênio César Mendes
Mauro de Castro Carvalho
Rafael Baroni Carvalho
Célio Alves Ferraz
Diba Maria S.T. Souza
Taylor B. Schnaider
Antisepsis Techniques in Orthopedic Surgical Procedures: A Comparative Study
Revista Brasileira de Ortopedia
chlorhexidine
infection
orthopedics
operating rooms
antisepsis
surgical procedures
title Antisepsis Techniques in Orthopedic Surgical Procedures: A Comparative Study
title_full Antisepsis Techniques in Orthopedic Surgical Procedures: A Comparative Study
title_fullStr Antisepsis Techniques in Orthopedic Surgical Procedures: A Comparative Study
title_full_unstemmed Antisepsis Techniques in Orthopedic Surgical Procedures: A Comparative Study
title_short Antisepsis Techniques in Orthopedic Surgical Procedures: A Comparative Study
title_sort antisepsis techniques in orthopedic surgical procedures a comparative study
topic chlorhexidine
infection
orthopedics
operating rooms
antisepsis
surgical procedures
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000200156&lng=en&tlng=en
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AT maurodecastrocarvalho antisepsistechniquesinorthopedicsurgicalproceduresacomparativestudy
AT rafaelbaronicarvalho antisepsistechniquesinorthopedicsurgicalproceduresacomparativestudy
AT celioalvesferraz antisepsistechniquesinorthopedicsurgicalproceduresacomparativestudy
AT dibamariastsouza antisepsistechniquesinorthopedicsurgicalproceduresacomparativestudy
AT taylorbschnaider antisepsistechniquesinorthopedicsurgicalproceduresacomparativestudy