Surgical Team’s Knowledge Levels About Pre-Operative Hair Removal: A Cross-Sectional Study
Yıl 2025,
Cilt: 8 Sayı: 3, 276 - 280, 30.09.2025
Derya Gezer
,
Neslihan Özdemir
Öz
Objective: This study aimed to assess the surgical team's knowledge of hair removal practices to prevent surgical site infections.
Methods: A descriptive, cross-sectional design was used, involving 145 surgical clinic employees from a university and public hospital between February and August 2023. Data were collected using a 26-question (15 true 11 false statements) survey about hair removal knowledge.
Results: The participants' mean age was 34.77±7.35, with 69.7% female, and 78.6% had received training on surgical site infections. The mean knowledge score for hair removal was 15.68±2.29, indicating insufficient knowledge. Only 11 of the 26 suggestions regarding hair removal had a correct answer rate above 80%. The highest correct response was that using an electric shaver prevents damage to skin integrity, while the least correct response was that hair should be cut to prevent infection during head and neck surgery. No significant differences in knowledge scores were found based on age, gender, profession, education level, institution, unit, length of service, or training in surgical site infections and hair removal (p>0.05).
Conclusion: As a result, it was determined that the knowledge level of the surgical team's knowledge of hair removal practices to prevent surgical site infections was not at the desired level.
Etik Beyan
Permission was obtained from the non-interventional clinical research ethics committee (Date/no 22.07.2022/62), the head physician of the university hospital (Date/no E-18649120-622.03-628926-31.01.2023), state hospıtal (Date/no E-66442466-604.01.01-215653867-11.05.2023/31), and the participants to conduct the study. In addition, the study was conducted in accordance with the principles of the Declaration of Helsinki 2008.
Destekleyen Kurum
TUBITAK Scientist Support Programs Directorate (BİDEB)
Proje Numarası
TÜBİTAK 2209 A-1919B012224787
Teşekkür
Thanks to the TUBITAK Scientist Support Programs Directorate and all surgical team members who participated in the study.
Kaynakça
-
1.Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection 2017. JAMA Surg. 2017;152(8):784–791. [Crossref]
-
2.Surgical Site Infection (SSI) Event. January 2025 Access: https://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf Access date: 25.08.2024
-
3.Global guidelines for the prevention of surgical site infection, second edition. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO. Access: https://www.who.int/publications/i/item/global-guidelines-for-the-prevention-of-surgical-site-infection-2nd-ed Access date: 25.06.2022. [Crossref]
-
4.O'Hara LM, Thom KA, Preas MA. Update to the Centers for Disease Control and Prevention and the Healthcare Infection Control Practices Advisory Committee Guideline for the Prevention of Surgical Site Infection (2017): A summary, review, and strategies for implementation. Am J Infect Control. 2018;46(6):602-609. [Crossref]
-
5.Kirkland KB, Briggs JP, Trivette SL, Wilkinson WE, Sexton DJ. The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infect Control Hosp Epidemiol. 1999;20(11):725-30. [Crossref]
-
6.Republic of Turkey Ministry of Health, General Directorate of Public Health. Surgical Site Infection Surveillance (2025). Access: https://hsgm.saglik.gov.tr/depo/birimler/bulasici-hastaliklar-ve-erken-uyari-db/Dokumanlar/Rehberler/Cerrahi_Alan_Enfeksiyonu_2025.pdf Access date: 25.06.2025
-
7.Öğce F, Kaymakçı Ş, Umar DÇ, Dönmez YC, Dolgun E, Damar HT, Çelik B. 2018. Ulusal kılavuz cerrahi alan enfeksiyonunu önlemede ameliyat öncesi kıl temizliği. Access: https://tcahd.org/gorseller/files/kil-temzligi-28_01_2019.pdf Access date: 25.08.2024
-
8.Yılmaz Güven D, Bulut H, Şimar S. Knowledge Levels of Nurses Working in Surgical Clinics Regarding Preoperative Hair Removal in Preventing Surgical Site Infection. BSJ Health Sci. 2022;5(1):18-23. [Crossref
-
9.Balkan A, Çelebi C. Surgical Site Infections. BSJ Health Sci. 2020;3(2):46-50.
-
10.NICE. 2020. Surgical Site Infections: prevention and treatment NICE (National Institute for Health and Care Excellence) Clinical Guideline-Last Update 2020. Access: Surgical site infections: prevention and treatment (nice.org.uk) Access date: 20.08.2024
-
11.Recommended practices for preoperative patient skin antisepsis. In: Perioperative Standards and Recommended Practices, AORN, Denver, USA;2017:79-80.
-
12.Şahin H. Investıgatıon of the Knowledge Levels of the Nurses Workıng at Söke State Hospıtal on Surgıcal Fıeld Infectıons [master’s thesis]. Aydın Adnan Menderes University Health Sciences Institute; 2021.
-
13.Yurtseven Ş, Şişman H. Knowledge Levels of Surgıcal Nurses Regardıng Surgıcal Sıte Infectıons: A Cross-Sectıonal Evaluatıon. Perioperative Care and Operating Room Management. 2025;100461. [Crossref]
-
14.Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. The lancet 2007;370(9596):1453-1457. [Crossref]
-
15.Tanner J, Melen K. Preoperative hair removal to reduce surgical site infection. Cochrane Database Syst Rev. 2021;26;8(8):CD004122. [Crossref]
-
16.Albishi W, Albeshri MA, Mortada HH, Alzahrani K, Alharbi R, Aljuhani F, et al. Awareness and Level of Knowledge About Surgical Site Infections and Risks of Wound Infection Among Medical Physicians in King Abdulaziz University Hospital: Cross-Sectional Study. Interact J Med Res. 2019;6;8(1):e12769. [Crossref]
-
17.Çetin EE, Andsoy II. Determınatıon of Operatıng Room Staff’s Knowledge About The Rısk Factors of Surgıcal Sıte Infectıons Related to Surgıcal Process. Cerrahi Surgical and Sterilization Nurses Association. 2021;1(3):1-14.
-
18.Lefebvre A, Saliou P, Lucet JC, Mimoz O, Keita-Perse O, Grandbastien B, et al. Preoperative hair removal and surgical site infections: network meta-analysis of randomized controlled trials. J Hosp Infect. 2015;91(2):100-8. [Crossref]
-
19.Awad SS, Palacio CH, Subramanian A, Byers PA, Abraham P, Lewis DA, et al. Implementation of a methicillin-resistant Staphylococcus aureus (MRSA) prevention bundle results in decreased MRSA surgical site infections. Am J Surg. 2009;198(5):607-10. [Crossref]
-
20.Yıldırım Tank D, Çelik S, Karahan E, Taşdemir N. Knowledge Levels of the Operating Room Nurses Related to Prevention of Surgical Site Infections. Journal of Health Sciences and Professions. 2019;6(2):299-30. [Crossref]
-
21.Horgan S, Drennan J, Andrews E, Saab MM, Hegarty J. Healthcare professionals' knowledge and attitudes towards surgical site infection and surveillance: A quasi-experimental study. Nurs Open. 2024 Jan;11(1):e2048. [Crossref]
-
22.Qasem MN, Hweidi IM. Jordanian nurses’ knowledge of preventing surgical site infections in acute care settings. Open Journal of Nursing. 2017;7(5):561-582. [Crossref]
-
23.Sadia H, Kousar R, Azhar M, Waqas A, Gilani SA. Assessment of nurses’ knowledge and practices regarding prevention of surgical site infection. Saudi j. med. pharm. Sci. 2017;3(6):585-595. [Crossref]
Cerrahi Ekibin Ameliyat Öncesi Kıl Alma Hakkındaki Bilgi Düzeyleri: Kesitsel Bir Çalışma
Yıl 2025,
Cilt: 8 Sayı: 3, 276 - 280, 30.09.2025
Derya Gezer
,
Neslihan Özdemir
Öz
Amaç: Bu çalışmanın amacı, cerrahi ekibin cerrahi alan infeksiyonlarını önlemek için kıl temizliği uygulamaları hakkındaki bilgi düzeyini değerlendirmektir.
Metod: Şubat-Ağustos 2023 tarihleri arasında bir üniversite ve devlet hastanesinden 145 cerrahi klinik çalışanını kapsayan tanımlayıcı, kesitsel bir çalışmadır. Veriler, kıl temizliği bilgisine ilişkin 26 sorudan (15 doğru, 11 yanlış) oluşan bir anket kullanılarak toplanmıştır.
Bulgular: Katılımcıların ortalama yaşı 34,77±7,35 olup, %69,7'si kadındır ve %78,6'sı cerrahi alan infeksiyonları konusunda eğitim almıştır. Kıl temizliği için ortalama bilgi puanı 15,68±2,29 olup, bilgi düzeyinin yetersiz olduğunu göstermektedir. Kıl temizliği ile ilgili 26 öneriden sadece 11'inin doğru cevap oranı %80'in üzerindedir. En yüksek doğru cevap elektrikli tıraş makinesinin cilt bütünlüğünün bozulmasını önlediği, en düşük doğru cevap ise baş ve boyun cerrahisi sırasında infeksiyonu önlemek için tüylerin kesilmesi gerektiğidir. Yaş, cinsiyet, meslek, eğitim düzeyi, kurum, birim, hizmet süresi ve cerrahi alan infeksiyonları ve kıl temizliği konusunda eğitime bağlı olarak bilgi puanlarında anlamlı bir fark bulunmamıştır (p>0,05).
Sonuç: Sonuç olarak, cerrahi ekibin cerrahi alan infeksiyonlarını önlemeye yönelik kıl temizliği uygulamalarına ilişkin bilgi düzeyinin istenilen düzeyde olmadığı belirlenmiştir.
Etik Beyan
Çalışmanın yürütülmesi için Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu'ndan (Tarih/No 22.07.2022/62), Üniversite Hastanesi Başhekimliğinden (Tarih/No E-18649120-622.03-628926-31.01.2023), Devlet Hastanesi'nden (Tarih/No E-66442466-604.01.01-215653867-11.05.2023/31) ve katılımcılardan izin alındı. Ayrıca çalışma Helsinki Bildirgesi 2008 ilkelerine uygun olarak yürütüldü.
Destekleyen Kurum
TÜBİTAK Bilim İnsanı Destekleme Programları Başkanlığı (BİDEB)
Proje Numarası
TÜBİTAK 2209 A-1919B012224787
Teşekkür
TÜBİTAK Bilim İnsanı Destekleme Programları Başkanlığı’na ve çalışmaya katılan tüm cerrahi ekip üyelerine teşekkür ederiz.
Kaynakça
-
1.Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection 2017. JAMA Surg. 2017;152(8):784–791. [Crossref]
-
2.Surgical Site Infection (SSI) Event. January 2025 Access: https://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf Access date: 25.08.2024
-
3.Global guidelines for the prevention of surgical site infection, second edition. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO. Access: https://www.who.int/publications/i/item/global-guidelines-for-the-prevention-of-surgical-site-infection-2nd-ed Access date: 25.06.2022. [Crossref]
-
4.O'Hara LM, Thom KA, Preas MA. Update to the Centers for Disease Control and Prevention and the Healthcare Infection Control Practices Advisory Committee Guideline for the Prevention of Surgical Site Infection (2017): A summary, review, and strategies for implementation. Am J Infect Control. 2018;46(6):602-609. [Crossref]
-
5.Kirkland KB, Briggs JP, Trivette SL, Wilkinson WE, Sexton DJ. The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs. Infect Control Hosp Epidemiol. 1999;20(11):725-30. [Crossref]
-
6.Republic of Turkey Ministry of Health, General Directorate of Public Health. Surgical Site Infection Surveillance (2025). Access: https://hsgm.saglik.gov.tr/depo/birimler/bulasici-hastaliklar-ve-erken-uyari-db/Dokumanlar/Rehberler/Cerrahi_Alan_Enfeksiyonu_2025.pdf Access date: 25.06.2025
-
7.Öğce F, Kaymakçı Ş, Umar DÇ, Dönmez YC, Dolgun E, Damar HT, Çelik B. 2018. Ulusal kılavuz cerrahi alan enfeksiyonunu önlemede ameliyat öncesi kıl temizliği. Access: https://tcahd.org/gorseller/files/kil-temzligi-28_01_2019.pdf Access date: 25.08.2024
-
8.Yılmaz Güven D, Bulut H, Şimar S. Knowledge Levels of Nurses Working in Surgical Clinics Regarding Preoperative Hair Removal in Preventing Surgical Site Infection. BSJ Health Sci. 2022;5(1):18-23. [Crossref
-
9.Balkan A, Çelebi C. Surgical Site Infections. BSJ Health Sci. 2020;3(2):46-50.
-
10.NICE. 2020. Surgical Site Infections: prevention and treatment NICE (National Institute for Health and Care Excellence) Clinical Guideline-Last Update 2020. Access: Surgical site infections: prevention and treatment (nice.org.uk) Access date: 20.08.2024
-
11.Recommended practices for preoperative patient skin antisepsis. In: Perioperative Standards and Recommended Practices, AORN, Denver, USA;2017:79-80.
-
12.Şahin H. Investıgatıon of the Knowledge Levels of the Nurses Workıng at Söke State Hospıtal on Surgıcal Fıeld Infectıons [master’s thesis]. Aydın Adnan Menderes University Health Sciences Institute; 2021.
-
13.Yurtseven Ş, Şişman H. Knowledge Levels of Surgıcal Nurses Regardıng Surgıcal Sıte Infectıons: A Cross-Sectıonal Evaluatıon. Perioperative Care and Operating Room Management. 2025;100461. [Crossref]
-
14.Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. The lancet 2007;370(9596):1453-1457. [Crossref]
-
15.Tanner J, Melen K. Preoperative hair removal to reduce surgical site infection. Cochrane Database Syst Rev. 2021;26;8(8):CD004122. [Crossref]
-
16.Albishi W, Albeshri MA, Mortada HH, Alzahrani K, Alharbi R, Aljuhani F, et al. Awareness and Level of Knowledge About Surgical Site Infections and Risks of Wound Infection Among Medical Physicians in King Abdulaziz University Hospital: Cross-Sectional Study. Interact J Med Res. 2019;6;8(1):e12769. [Crossref]
-
17.Çetin EE, Andsoy II. Determınatıon of Operatıng Room Staff’s Knowledge About The Rısk Factors of Surgıcal Sıte Infectıons Related to Surgıcal Process. Cerrahi Surgical and Sterilization Nurses Association. 2021;1(3):1-14.
-
18.Lefebvre A, Saliou P, Lucet JC, Mimoz O, Keita-Perse O, Grandbastien B, et al. Preoperative hair removal and surgical site infections: network meta-analysis of randomized controlled trials. J Hosp Infect. 2015;91(2):100-8. [Crossref]
-
19.Awad SS, Palacio CH, Subramanian A, Byers PA, Abraham P, Lewis DA, et al. Implementation of a methicillin-resistant Staphylococcus aureus (MRSA) prevention bundle results in decreased MRSA surgical site infections. Am J Surg. 2009;198(5):607-10. [Crossref]
-
20.Yıldırım Tank D, Çelik S, Karahan E, Taşdemir N. Knowledge Levels of the Operating Room Nurses Related to Prevention of Surgical Site Infections. Journal of Health Sciences and Professions. 2019;6(2):299-30. [Crossref]
-
21.Horgan S, Drennan J, Andrews E, Saab MM, Hegarty J. Healthcare professionals' knowledge and attitudes towards surgical site infection and surveillance: A quasi-experimental study. Nurs Open. 2024 Jan;11(1):e2048. [Crossref]
-
22.Qasem MN, Hweidi IM. Jordanian nurses’ knowledge of preventing surgical site infections in acute care settings. Open Journal of Nursing. 2017;7(5):561-582. [Crossref]
-
23.Sadia H, Kousar R, Azhar M, Waqas A, Gilani SA. Assessment of nurses’ knowledge and practices regarding prevention of surgical site infection. Saudi j. med. pharm. Sci. 2017;3(6):585-595. [Crossref]