Preoperative Skin Antiseptic Preparations for Preventing Surgical Site Infections: A Systematic Review

Abstract

The evidence suggests that preoperative antiseptic showers reduce bacterial colonization and may be effective at preventing SSIs. The antiseptic application method is inconsequential, and data are lacking to suggest which antiseptic solution is the most effective. Disinfectant products are often mixed with alcohol or water, which makes it difficult to form overall conclusions regarding an active ingredient. Large, well-conducted randomized controlled trials with consistent protocols comparing agents in the same bases are needed to provide unequivocal evidence on the effectiveness of one antiseptic preparation over another for the prevention of SSIs.

Recomendaciones prácticas para la antisepsia de la piel del paciente antes de cirugía

“…A manera de ejemplo, el proyecto para el mejoramiento del cuidado quirúrgico (del inglés, "The Surgical Care Improvement Project"), recomienda el seguimiento de 6 indicadores de resultados y de proceso con el fin de disminuir la ISO: profilaxis antibiótica prequirúrgica (tiempo de administración, selección del antimicrobiano y duración del mismo), control de la glucosa, remoción adecuada del vello y normotermia en la cirugía colorrectal 14,15 .…”

“…En los últimos años han aparecido revisiones exhaustivas dedicadas no solo a la comparación de las soluciones antisépticas y su técnica de aplicación, sino también sobre la importancia del baño prequirúrgico, uso de cintas y compresas quirúrgicas impregnadas con antisépticos y rasurado (recorte de vello prequirúrgico) [15][16][17][18][19][20][21] .…”

Practical Recommendations for Preoperative Skin Antisepsis

“…Adhesive fields may be advantageous in sealing the surgical field. However, the usefulness of iodineimpregnated fields has not been shown to be useful in the reduction of surgical site infection 15 .…”

“…As an example, the Surgical Care Improvement Project recommends the follow-up of 6 outcome and process indicators to reduce SSI: prophylaxis pre-surgical antibiotics (time of administration, antimicrobial selection and duration of the antimicrobial), glucose control, adequate hair removal and normothermia in colorectal surgery 14,15 .…”

“…Over the past few years' exhaustive reviews have been devoted not only to the comparison of antiseptic solutions and their application technique, but also to the importance of the pre-surgical baths, the use of tapes and surgical compresses impregnated with antiseptics and shaving (pre-surgical hair trimming) [15][16][17][18][19][20][21] .…”