Practical recommendations for skin preparation of Surgical Site
Practical recommendations for skin preparation of Surgical Site
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DOI：
10.22354/in.v21i3.676
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发表时间：
2017-09-01
期刊：
影响因子：
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通讯作者：
Cuellar, Luis Ernesto
中科院分区：
文献类型：
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作者：
Álvarez, Carlos Arturo;Guevara, Cesar Ernesto;Cuellar, Luis Ernesto
摘要考虑到感染对患者预后的影响，寻找减少手术部位感染（SSI）的策略是当务之急。术前患者皮肤消毒，最近在预防SSI中获得了更大的意义，作为可以干预并可以降低感染风险的关键因素之一。近年来，已经发表了全面的调查，不仅致力于比较防腐剂溶液，应用技术，而且还关于术前洗澡，使用手术胶带和敷料浸渍防腐剂，术前剃须的重要性。这篇综述概述了与术前患者皮肤消毒相关的主要发现，并提供了一个在我国机构实施的实用建议。它提供了关于使用防腐剂溶液（聚维酮碘、氯己定、氯己定+酒精等）的循证建议。并强调每一种的优点和缺点。
Abstract The search for strategies for reduction of Surgical Site infection (SSI) is a priority, given the impact that infections have on the outcome of the patients. The preoperative patient skin antisepsis, has recently gained greater significance in the prevention of SSI, as one of the critical factors, which can be intervened and can reduce the risk of infection. In recent years, comprehensive investigations have been published not only dedicated to the comparison of antiseptic solutions, application techniques, but also about the importance of preoperative bathing, use of surgical tapes and dressings impregnated with antiseptics, and preoperative shaving. This review outlines the key findings related to the preoperative patient's skin antisepsis and offers a protocol with practical recommendations to be implemented in the institutions of our country. It provides evidence based recommendations about the use of antiseptic solutions (povidone iodine, chlorhexidine, chlorhexidine plus alcohol, etc.) with emphasis on the advantages and disadvantages of each one.