Preoperative hair removal to reduce surgical site infection

Tanner, Judith; Norrie, Peter; Melen, Kate

doi:10.1002/14651858.cd004122.pub4

Cited by 211 publications

(62 citation statements)

References 41 publications

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“…A whole body disinfection was significantly superior compared with local washing or no washing at all [84, 99]. Hair clipping on the morning of surgery as opposed to shaving lowers the rate of SSI because a razor may cause superficial skin abrasions and results an increase in colonization of bacteria at the incision site [100].…”

Section: The Operation Daymentioning

confidence: 99%

The Prevention of Periprosthetic Joint Infections

Küçükdurmaz

Parvızı

2016

TOORTHJ

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Periprosthetic joint infection (PJI) following total joint arthroplasty (TJA) adversely affects patient quality of life and health status, and places a huge financial burden on the health care. The first step in combating this complication is prevention, which may include implementation of strategies during the preoperative, intraoperative, or postoperative period. Optimization of the patient with appreciation of the modifiable and non-modifiable factors is crucial. Preoperative optimization involves medical optimization of patients with comorbidities such as diabetes, anemia, malnutrition and other conditions that may predispose the patient to PJI. Among the intraoperative strategies, administration of appropriate and timely antibiotics, blood conservation, gentle soft tissue handling, and expeditious surgery in an ultra clean operating room are among the most effective strategies. During the postoperative period, all efforts should be made to minimize ingress or proliferation of bacteria at the site of the index arthroplasty from draining the wound and hematoma formation. Although the important role of some preventative measures is known, further research is needed to evaluate the role of unproven measures that are currently employed and to devise further strategies for prevention of this feared complication.

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Section: The Operation Daymentioning

confidence: 99%

The Prevention of Periprosthetic Joint Infections

Küçükdurmaz

Parvızı

2016

TOORTHJ

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“…However, the efficacy of shaving or clipping is unclear, and much of the literature is from general and neurologic surgery. 23,24 The use of razors is discouraged as skin microabrasions caused by the razor blades may allow the entrance of bacteria to the dermis. 3,23, 24 We had anticipated that using clippers to remove axillary hair would reduce bacterial load.…”

Section: Discussionmentioning

confidence: 99%

The effect of axillary hair on surgical antisepsis around the shoulder

Marecek

Weatherford

Fuller

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…If necessary, the WHO encourages hair removal with a clipper but strongly discourages shaving, as this might create microscopic cuts in the skin, leading to microbial contamination and thereby SSI. In addition, if performed, pre-operative hair removal at the incision site should be done outside the operating room (OR) [13,15,46,47].…”

Section: Surgical-site Preparationmentioning

confidence: 99%

Prevention of fracture-related infection: a multidisciplinary care package

Metsemakers

Onsea

Neutjens

et al. 2017

International Orthopaedics (SICOT)

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Fracture-related infection (FRI) remains a challenging complication. It may result in permanent functional loss or even amputation in otherwise healthy patients. For these reasons, it is important to focus attention on prevention. In treatment algorithms for FRI, antibiotic stewardship programmes have already proved their use by means of a multidisciplinary collaboration between microbiologists, surgeons, pharmacists, infectious disease physicians and nursing staff. A similar approach, however, has not been described for infection prevention. As a first step towards achieving a multidisciplinary care package for infection prevention, this review summarises the most recent guidelines published by the World Health Organization (WHO) and US National Institutes of Health Centers for Disease Control and Prevention (CDC), primarily focusing on the musculoskeletal trauma patient. The implementation of these guidelines, together with close collaboration between infection control physicians, surgeons, anaesthesiologists and nursing staff, can potentially have a beneficial effect on the rate of FRI after musculoskeletal trauma surgery. It must be stated that most evidence presented here in support of these guidelines was not obtained from musculoskeletal trauma research. Although most preventive measures described in these studies can be generalised to the musculoskeletal trauma patient, there are still important differences with nontrauma patients that require further attention. Future research should therefore focus more on this very defined patient population and more specifically on FRI prevention.

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Preoperative hair removal to reduce surgical site infection

Cited by 211 publications

References 41 publications

The Prevention of Periprosthetic Joint Infections

The Prevention of Periprosthetic Joint Infections

The effect of axillary hair on surgical antisepsis around the shoulder

Prevention of fracture-related infection: a multidisciplinary care package

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