Effect of chlorhexidine gluconate solution on healing process in care of episiotomy wound

Abstract

Öz Purpose: Determination of the effect of chlorhexidine gluconate (CG) solution (containing 70% alcohol) on the process of episiotomy wound healing. Materials and Methods: This is a semi-experimentally designed study with pre-test post-test control group. In the research, after the episiotomy intervention 45 puerperal, those were treated with routine hospital care formed the control group, the other 45 puerperal who were treated with Serum Physiological (SP) solution formed the 1st group and the remaining 45 puerperal who were treated with CG solution formed the 2nd treatment group. Results: When the REEDA scale of the puerperals are evaluated; The wound care with the CG solution was more effective in terms of reduction of the redness, edema, ecchymosis, and drainage in the episiotomy area and in the closure of the wound edges. Statistically lower levels of pain complaints were found in the patients who used CG solution in episiotomy treatment compared to those who received routine care and SP solution. In episiotomy treatment, the CG solution appeared to be an effective and promoting product for wound healing. Conclusion: We concluded that CG solution is an effective wound care product, which contributes to wound healing in patients with episiotomy. Amaç: Klorheksidin Glukonat (KG) solüsyonunun (%70 alkol içeren) epizyotomi yarasının iyileşme sürecine etkisini belirlemek. Gereç ve Yöntem: Ön test son-test kontrol gruplu yarı deneysel tasarımlı bir araştırmadır. Araştırmada epizyotomi uygulaması sonrası rutin hastane bakımı yapan 45 lohusa kontrol grubunu, Serum Fizyolojik (SF) solüsyonu kullanan 45 lohusa 1. uygulama grubunu ve KG solüsyonu kullanan 45 lohusa 2. uygulama grubunu oluşturdu. Bulgular: Lohusaların REEDA skoru değerlendirildiğinde; KG solüsyonu ile yapılan yara bakımı epizyotomi bölgesinde kızarıklık, ödem, ekimoz, akıntıyı azalttı ve yara kenarlarının yaklaşmasında da KG solüsyonu ile bakımın daha etkili idi. Epizyotomi bakımında KG solüsyonu kullanan lohusaların rutin bakım alan ve SF solüsyonu ile bakım yapanlara göre istatistiksel olarak anlamlı olarak daha düşük düzeyde ağrı deneyimlediği saptandı. Sonuç: Epizyotomi bakımında KG solüsyonunun yara iyileşmesini destekleyici ve etkin bir bakım ürünü olduğu görüldü.

The Effect of Chlorhexidine Gluconate on Microbial Growth in Patients Undergoing Debridement for Diabetic Foot:A Randomized Controlled Study

“…23 Çobanoğlu and Şendir evaluated the effect of chlorhexidine gluconate on healing of episiotomy and noted that chlorhexidine gluconate was an effective care product and could be used to support wound healing. 24 Although there have been many studies proving the effectiveness of chlorhexidine, some studies have shown that povidone iodine is more effective than chlorhexidine. [25][26][27] McLure and Gordon examined effects of povidone iodine and chlorhexidine on 33 strains of MRSA and found that while chlorhexidine was effective in 3 strains of MRSA, povidone iodine was effective in 33 strains.…”