Kan preoperativ helkroppstvätt med klorhexidin förhindra postoperativa sårinfektioner? - En systematisk litteraturstudie

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Sammanfattning: Background: Products containing chlorhexidine gluconate have been used in health care for a long time to reduce the risk for endogenous infection after surgery. Lately several hospitals have made changes in their routines because of the missing evidence about the correlation between the usage of full body wash with chlorhexidine gluconate and lower rates of SSI (surgical site infections). It’s the theater nurse’s responsibility to optimize the patient and the environment before, during and after surgery. The patient’s own skin preparations are an important part in the perioperative care.Aim: The aim of this study was to systematically review science articles published between 2008-2018 that investigate whether preoperative full body wash with products containing chlorhexidine gluconate can prevent SSI.Method: A systematic literature search was conducted in PubMed and Cinahl. The two authors together screened the titles and abstracts and then independently read articles in full text for inclusion, matching the aim of the study. A protocol by SBU was used in the quality assessment.Results: Nine out of ten articles in this study showed that preoperative full body wash with products containing chlorhexidine gluconate can reduce the risk for SSI. All of the studies had scientific shortcomings.Conclusion: There is still a lack of evidence whether the use of preoperative full body wash with products containing chlorhexidine gluconate can reduce the risk for SSI. The authors consider that it is improvident to change a well-established and proven routine preventing endogenous infections before more evidence is available.

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