Research Article
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Year 2022, , 564 - 567, 15.03.2022
https://doi.org/10.32322/jhsm.1025686

Abstract

References

  • Badia JM, Rubio-Pérez I, López-Menéndez J, et al. Spanish Observatory of Surgical Infection. The persistent breach between evidence and practice in the prevention of surgical site infection. Qualitative study. Int J Surg 2020; 82: 231-9.
  • Suetens C, Latour K, Karki T, et al. The Healthcare-Associated Infections Prevalence Study Group, Members of the Healthcare-Associated Infections Prevalence Study Group. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017, Euro Surveill 2018; 23: 1800516.
  • Badia JM, Casey AL, Petrosillo N, Hudson PM, Mitchell SA, Crosby C. Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries, J Hosp Infect 2017; 96: 1–15.
  • De Lissovoy G, Fraeman K, Hutchins V, Murphy D, Song D, Vaughn BB. Surgical site infection: incidence and impact on hospital utilization and treatment costs. Am J Infect Control 2009; 37: 387-97.
  • Keenan JE, Speicher PJ, Thacker JK, Walter M, Kuchibhatla M, Mantyh CR. The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. JAMA Surg 2014; 149: 1045-52.
  • Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR, Committee HICPA. Guideline for prevention of surgical site infection, 1999. Infect Control Hosp Epidemiol 1999; 20: 247-80.
  • Kowalski TJ, Kothari SN, Mathiason MA, Borgert AJ. Impact of hair removal on surgical site infection rates: a prospective randomized noninferiority trial. J Am Coll Surg 2016; 223: 704-11.
  • Lohsiriwat V, Chinswangwatanakul V, Lohsiriwat D, et al. Guidelines for the prevention of surgical site infection: The Surgical Infection Society of Thailand recommendations (Executive summary). J Med Assoc Thai J Med Assoc Thai 2020; 103: 99-105.
  • Hranjec T, Swenson BR, Sawyer RG. Surgical site infection prevention: how we do it. Surg Infect 2010; 11: 289-94.
  • Tanner J, Khan D. Surgical site infection, preoperative body washing and hair removal. J Perioper Pract 2008; 18: 232-43.
  • Lefebvre A, Saliou P, Lucet J, et al. Preoperative hair removal and surgical site infections: network meta-analysis of randomized controlled trials. J Hosp Infect 2015; 91: 100-8.
  • Topcu R, Yıldırım MB, Özkan MB, Aslan O, Sezikli İ, Şahin F. The effect of COVID-19 pandemic on inguinal hernia emergencies. J Health Sci Med 2021; 4: 865-70.
  • Temoçin F, Hatice K, Sürel AA. Enfeksiyon kontrol önlemlerine ilişkin klinik karar destek sistemlerinin hazırlanması ve etkililiğin değerlendirilmesi. J Health Sci Med 2019; 2: 54-7.
  • Karegoudar JS, Prabhakar PJ, Vijayanath V, Anitha MR, Surpur RR, Patil VM. Shaving versus depilation cream for pre-operative skin preparation. Indian J Surg 2012; 74: 294-7.
  • Markström I, Bjerså K. Diversities in perceived knowledge and practice of preoperative skin preparation in Swedish orthopaedic surgery. J Perioper Pract 2015; 25: 101-6.
  • Lee YH, Kwon YS, Cho JM. Ventriculoperitoneal shunt without hair shaving using absorbable suture materials. J Korean Neurosurg Soc 2021; 64: 120-4.
  • Bhatti MI, Leach PA. The incidence of infection for adults undergoing supra-tentorial craniotomy for tumours without hair removal. Br J Neurosurg 2013; 27: 218-20.
  • Adeleye AO. Nonshaved cranial surgery in black Africans: technical report and a medium-term prospective outcome study. Neurosurg Rev 2016; 39: 449-54.
  • Chesnut RM, Temkin N, Carney N, et al. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med 2012; 367: 2471-81.
  • Tokarski AT, Blaha D, Mont MA, et al. Perioperative skin preparation. J Orthop Res 2014; 32: 26-30.
  • Boisson M, Corbi P, Kerforne T, et al. Multicentre, open-label, randomised, controlled clinical trial comparing 2% chlorhexidine-70% isopropanol and 5% povidone iodine-69% ethanol for skin antisepsis in reducing surgical-site infection after cardiac surgery: the CLEAN 2 study protocol. BMJ Open 2019; 9: e026929.
  • Powis SJ, Waterworth TA, Arkell DG. Preoperative skin preparation: clinical evaluation of depilatory cream. Br Med J 1976; 2: 1166-8.
  • Weinstein RA. Epidemiology and control of nosocomial infections in adult intensive care units. The Am J Med 1991; 91: 179-84.
  • Thur de Koos P, McComas B. Shaving versus skin depilatory cream for preoperative skin preparation: A prospective study of wound infection rates. Am J Surg 1983; 145: 377-8.
  • Hu P, Shen H, Wang G, Zhang P, Liu Q, Du J. Prognostic significance of systemic inflammation-based lymphocyte-monocyte ratio in patients with lung cancer: based on a large cohort study. PloS One 2014; 9: e108062.
  • Hu P, Uhlich R, Bosarge PL. Prevention of postoperative infection. Sci Am 2017; 8: 17.
  • Ban KA, Minei JP, Laronga C, et al. Executive summary of the American College of Surgeons/Surgical Infection Society surgical site infection guidelines—2016 update. Surg Infect 2017; 18: 379-82.
  • Seropian R, Reynolds BM. Wound infection after preoperative depilation versus razor preparation. Am J Surg 1970; 12: 251-4.
  • Court-Brown CM. Preoperative skin depilation and its effect on postoperative wound infections. J Royal Col Surg Edinb 1981; 26: 238-41.
  • Tanner J, Woodings D, Moncaster K. Preoperative hair removal to reduce surgical site infection. Journal of perioperative practice, 2007; 17: 118-32.

Is there any difference between shaving versus clipping versus depilatory gel of hair removal for skin preparation before surgery in respect of wound infection?

Year 2022, , 564 - 567, 15.03.2022
https://doi.org/10.32322/jhsm.1025686

Abstract

Aim: Postoperative wound infection is still the most developing complication after surgery and globally responsible for almost %25 hospitalizations requiring complications after surgery. Several significant parameters to minimize Surgical Site Infection (SSI) evaluated and published in many articles, reviews, and guidelines. We aim to investigate the SSI outcomes of 3 different hair removal procedures before surgery, including skin preparation, in this original research article.
Material and Method: 314 patients enrolled in this study were males aged 18 and 65, admitted to the outpatient clinic with unilateral inguinal hernia, and were eligible for Lichtenstein tension-free open hernia repair using mesh.
Results: Wound infection has occurred in 6 patients from Group-1 (4.83%), 8 patients on Group-2 (7.92%), 4 patients on Group-3 (4.49%). There are no statistically significant between Group1 and Group-3 (p>0.05) when the wound infection rates of Group-2 statistically significantly higher than Group-1 and Group-3 (p<0.05).
Conclusion: In the light of our study, we suggest either clipping on the table or usage of depilatory gels to maintain hair removal, including preoperative skin preparation.

References

  • Badia JM, Rubio-Pérez I, López-Menéndez J, et al. Spanish Observatory of Surgical Infection. The persistent breach between evidence and practice in the prevention of surgical site infection. Qualitative study. Int J Surg 2020; 82: 231-9.
  • Suetens C, Latour K, Karki T, et al. The Healthcare-Associated Infections Prevalence Study Group, Members of the Healthcare-Associated Infections Prevalence Study Group. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017, Euro Surveill 2018; 23: 1800516.
  • Badia JM, Casey AL, Petrosillo N, Hudson PM, Mitchell SA, Crosby C. Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries, J Hosp Infect 2017; 96: 1–15.
  • De Lissovoy G, Fraeman K, Hutchins V, Murphy D, Song D, Vaughn BB. Surgical site infection: incidence and impact on hospital utilization and treatment costs. Am J Infect Control 2009; 37: 387-97.
  • Keenan JE, Speicher PJ, Thacker JK, Walter M, Kuchibhatla M, Mantyh CR. The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. JAMA Surg 2014; 149: 1045-52.
  • Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR, Committee HICPA. Guideline for prevention of surgical site infection, 1999. Infect Control Hosp Epidemiol 1999; 20: 247-80.
  • Kowalski TJ, Kothari SN, Mathiason MA, Borgert AJ. Impact of hair removal on surgical site infection rates: a prospective randomized noninferiority trial. J Am Coll Surg 2016; 223: 704-11.
  • Lohsiriwat V, Chinswangwatanakul V, Lohsiriwat D, et al. Guidelines for the prevention of surgical site infection: The Surgical Infection Society of Thailand recommendations (Executive summary). J Med Assoc Thai J Med Assoc Thai 2020; 103: 99-105.
  • Hranjec T, Swenson BR, Sawyer RG. Surgical site infection prevention: how we do it. Surg Infect 2010; 11: 289-94.
  • Tanner J, Khan D. Surgical site infection, preoperative body washing and hair removal. J Perioper Pract 2008; 18: 232-43.
  • Lefebvre A, Saliou P, Lucet J, et al. Preoperative hair removal and surgical site infections: network meta-analysis of randomized controlled trials. J Hosp Infect 2015; 91: 100-8.
  • Topcu R, Yıldırım MB, Özkan MB, Aslan O, Sezikli İ, Şahin F. The effect of COVID-19 pandemic on inguinal hernia emergencies. J Health Sci Med 2021; 4: 865-70.
  • Temoçin F, Hatice K, Sürel AA. Enfeksiyon kontrol önlemlerine ilişkin klinik karar destek sistemlerinin hazırlanması ve etkililiğin değerlendirilmesi. J Health Sci Med 2019; 2: 54-7.
  • Karegoudar JS, Prabhakar PJ, Vijayanath V, Anitha MR, Surpur RR, Patil VM. Shaving versus depilation cream for pre-operative skin preparation. Indian J Surg 2012; 74: 294-7.
  • Markström I, Bjerså K. Diversities in perceived knowledge and practice of preoperative skin preparation in Swedish orthopaedic surgery. J Perioper Pract 2015; 25: 101-6.
  • Lee YH, Kwon YS, Cho JM. Ventriculoperitoneal shunt without hair shaving using absorbable suture materials. J Korean Neurosurg Soc 2021; 64: 120-4.
  • Bhatti MI, Leach PA. The incidence of infection for adults undergoing supra-tentorial craniotomy for tumours without hair removal. Br J Neurosurg 2013; 27: 218-20.
  • Adeleye AO. Nonshaved cranial surgery in black Africans: technical report and a medium-term prospective outcome study. Neurosurg Rev 2016; 39: 449-54.
  • Chesnut RM, Temkin N, Carney N, et al. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med 2012; 367: 2471-81.
  • Tokarski AT, Blaha D, Mont MA, et al. Perioperative skin preparation. J Orthop Res 2014; 32: 26-30.
  • Boisson M, Corbi P, Kerforne T, et al. Multicentre, open-label, randomised, controlled clinical trial comparing 2% chlorhexidine-70% isopropanol and 5% povidone iodine-69% ethanol for skin antisepsis in reducing surgical-site infection after cardiac surgery: the CLEAN 2 study protocol. BMJ Open 2019; 9: e026929.
  • Powis SJ, Waterworth TA, Arkell DG. Preoperative skin preparation: clinical evaluation of depilatory cream. Br Med J 1976; 2: 1166-8.
  • Weinstein RA. Epidemiology and control of nosocomial infections in adult intensive care units. The Am J Med 1991; 91: 179-84.
  • Thur de Koos P, McComas B. Shaving versus skin depilatory cream for preoperative skin preparation: A prospective study of wound infection rates. Am J Surg 1983; 145: 377-8.
  • Hu P, Shen H, Wang G, Zhang P, Liu Q, Du J. Prognostic significance of systemic inflammation-based lymphocyte-monocyte ratio in patients with lung cancer: based on a large cohort study. PloS One 2014; 9: e108062.
  • Hu P, Uhlich R, Bosarge PL. Prevention of postoperative infection. Sci Am 2017; 8: 17.
  • Ban KA, Minei JP, Laronga C, et al. Executive summary of the American College of Surgeons/Surgical Infection Society surgical site infection guidelines—2016 update. Surg Infect 2017; 18: 379-82.
  • Seropian R, Reynolds BM. Wound infection after preoperative depilation versus razor preparation. Am J Surg 1970; 12: 251-4.
  • Court-Brown CM. Preoperative skin depilation and its effect on postoperative wound infections. J Royal Col Surg Edinb 1981; 26: 238-41.
  • Tanner J, Woodings D, Moncaster K. Preoperative hair removal to reduce surgical site infection. Journal of perioperative practice, 2007; 17: 118-32.
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Veysel Barış Turhan 0000-0001-5093-4993

Ramazan Topcu 0000-0001-6214-4868

Alp Yıldız 0000-0002-6800-138X

Publication Date March 15, 2022
Published in Issue Year 2022

Cite

AMA Turhan VB, Topcu R, Yıldız A. Is there any difference between shaving versus clipping versus depilatory gel of hair removal for skin preparation before surgery in respect of wound infection?. J Health Sci Med /JHSM /jhsm. March 2022;5(2):564-567. doi:10.32322/jhsm.1025686

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