The effect of nurse-performed preoperative skin preparation on postoperative surgical site infections in abdominal surgery
Aim. To determine the effect of preoperative skin preparation procedures performed by nurses on postoperative surgical site infection in abdominal surgery. Background. Despite all interventions, postoperative SSIs still greatly affect mortality and morbidity. Design. This is an experimental study...
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| Veröffentlicht in: | Journal of clinical nursing 2009-12, Vol.18 (23), p.3325-3332 |
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| container_title | Journal of clinical nursing |
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| creator | Dizer, Berna Hatipoglu, Sevgi Kaymakcioglu, Nihat Tufan, Turgut Yava, Ayla Iyigun, Emine Senses, Zeynep |
| description | Aim. To determine the effect of preoperative skin preparation procedures performed by nurses on postoperative surgical site infection in abdominal surgery.
Background. Despite all interventions, postoperative SSIs still greatly affect mortality and morbidity.
Design. This is an experimental study.
Methods. Procedures developed for nurse application of preoperative skin preparations were tested on a control group (n = 39) and study group (n = 43).
Results. Only clinical routines for preoperative skin preparation were performed on the control group patients. Control group members’ skins were mostly prepared by shaving with a razor blade (41%). For the study group members, the researchers used the preoperative skin preparation procedure. Clippers were used to prepare 55·8% of study group members while 44·2% of them were not treated with the clipper because their wounds were clean. As a requirement of the procedure, all members of the study group had a chlorhexidine bath at least twice after being hospitalised and at least once a night before the operation under controlled conditions. In the group where chlorhexidine bath was not applied, the infection risk was found to be 4·76 times (95%CI = 1·20–18·83) greater even after corrections for age and gender had been made. The difference between control group and study group with respect to surgical site infections was also statistically significant (p |
| doi_str_mv | 10.1111/j.1365-2702.2009.02885.x |
| format | Article |
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Background. Despite all interventions, postoperative SSIs still greatly affect mortality and morbidity.
Design. This is an experimental study.
Methods. Procedures developed for nurse application of preoperative skin preparations were tested on a control group (n = 39) and study group (n = 43).
Results. Only clinical routines for preoperative skin preparation were performed on the control group patients. Control group members’ skins were mostly prepared by shaving with a razor blade (41%). For the study group members, the researchers used the preoperative skin preparation procedure. Clippers were used to prepare 55·8% of study group members while 44·2% of them were not treated with the clipper because their wounds were clean. As a requirement of the procedure, all members of the study group had a chlorhexidine bath at least twice after being hospitalised and at least once a night before the operation under controlled conditions. In the group where chlorhexidine bath was not applied, the infection risk was found to be 4·76 times (95%CI = 1·20–18·83) greater even after corrections for age and gender had been made. The difference between control group and study group with respect to surgical site infections was also statistically significant (p < 0·05).
Conclusion. Preoperative skin preparation using clipper on the nights before an operation and a 50 ml chlorhexidine bath excluding head area taken twice in the pre‐operative period are useful to reduce SSI during postoperative period.
Relevance to clinical practice. We find that preoperative skin preparation using the procedures developed as a result of findings of this study is useful in reducing surgical site infection during the postoperative period.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/j.1365-2702.2009.02885.x</identifier><identifier>PMID: 19930089</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Abdomen - surgery ; Abdominal surgery ; Adult ; Anti-Infective Agents, Local ; chlorhexidine ; Chlorhexidine - administration & dosage ; clipper ; Effects ; Female ; Hair Removal ; Humans ; Infections ; Male ; Middle Aged ; Mortality ; Nurses ; Nursing ; nursing care ; Postoperative Complications ; Postoperative period ; preoperative skin preparation ; Skin ; surgical site infection ; Surgical Wound Infection</subject><ispartof>Journal of clinical nursing, 2009-12, Vol.18 (23), p.3325-3332</ispartof><rights>2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd</rights><rights>Copyright Blackwell Publishing Ltd. Dec 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5165-7932fd1a7b2153ca9d8888d14986841ed33c99757944cca345df94068e85b5b73</citedby><cites>FETCH-LOGICAL-c5165-7932fd1a7b2153ca9d8888d14986841ed33c99757944cca345df94068e85b5b73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2702.2009.02885.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2702.2009.02885.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19930089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dizer, Berna</creatorcontrib><creatorcontrib>Hatipoglu, Sevgi</creatorcontrib><creatorcontrib>Kaymakcioglu, Nihat</creatorcontrib><creatorcontrib>Tufan, Turgut</creatorcontrib><creatorcontrib>Yava, Ayla</creatorcontrib><creatorcontrib>Iyigun, Emine</creatorcontrib><creatorcontrib>Senses, Zeynep</creatorcontrib><title>The effect of nurse-performed preoperative skin preparation on postoperative surgical site infections in abdominal surgery</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aim. To determine the effect of preoperative skin preparation procedures performed by nurses on postoperative surgical site infection in abdominal surgery.
Background. Despite all interventions, postoperative SSIs still greatly affect mortality and morbidity.
Design. This is an experimental study.
Methods. Procedures developed for nurse application of preoperative skin preparations were tested on a control group (n = 39) and study group (n = 43).
Results. Only clinical routines for preoperative skin preparation were performed on the control group patients. Control group members’ skins were mostly prepared by shaving with a razor blade (41%). For the study group members, the researchers used the preoperative skin preparation procedure. Clippers were used to prepare 55·8% of study group members while 44·2% of them were not treated with the clipper because their wounds were clean. As a requirement of the procedure, all members of the study group had a chlorhexidine bath at least twice after being hospitalised and at least once a night before the operation under controlled conditions. In the group where chlorhexidine bath was not applied, the infection risk was found to be 4·76 times (95%CI = 1·20–18·83) greater even after corrections for age and gender had been made. The difference between control group and study group with respect to surgical site infections was also statistically significant (p < 0·05).
Conclusion. Preoperative skin preparation using clipper on the nights before an operation and a 50 ml chlorhexidine bath excluding head area taken twice in the pre‐operative period are useful to reduce SSI during postoperative period.
Relevance to clinical practice. We find that preoperative skin preparation using the procedures developed as a result of findings of this study is useful in reducing surgical site infection during the postoperative period.</description><subject>Abdomen - surgery</subject><subject>Abdominal surgery</subject><subject>Adult</subject><subject>Anti-Infective Agents, Local</subject><subject>chlorhexidine</subject><subject>Chlorhexidine - administration & dosage</subject><subject>clipper</subject><subject>Effects</subject><subject>Female</subject><subject>Hair Removal</subject><subject>Humans</subject><subject>Infections</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Nurses</subject><subject>Nursing</subject><subject>nursing care</subject><subject>Postoperative Complications</subject><subject>Postoperative period</subject><subject>preoperative skin preparation</subject><subject>Skin</subject><subject>surgical site infection</subject><subject>Surgical Wound Infection</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi0EotvCX0AWF05J_RHH9gUJraAf9INDERIXy0km4G02Tu0Edvn1OOyqVFzKyJLHM8-88uhFCFOS0xTHq5zyUmRMEpYzQnROmFIi3zxBi_vGU7QgumQZJaU8QIcxrgihnDH-HB1QrTkhSi_Qr5vvgKFtoR6xb3E_hQjZAKH1YQ0NHgL49LKj-wE43rp-rgx2LvgepzP4OD4gpvDN1bbD0Y2AXT_LJjCmFNuq8WvXz81EQdi-QM9a20V4ub-P0OcP72-Wp9nF9cnZ8t1FVguadpGas7ahVlaMCl5b3agUDS20KlVBoeG81loKqYuiri0vRNPqgpQKlKhEJfkRerPTHYK_myCOZu1iDV1ne_BTNLIsuFaSssdJXqQv0JIm8vU_5MpPIS0XDeOCkKSmEqR2UB18jAFaMwS3tmFrKDGzj2ZlZrvMbJeZfTR_fDSbNPpqrz9VyYe_g3vjEvB2B_x0HWz_W9icXy-v5jQJZDsBF0fY3AvYcGtKyaUwX65OzOUl_bQ8JV_NR_4b3oi8QQ</recordid><startdate>200912</startdate><enddate>200912</enddate><creator>Dizer, Berna</creator><creator>Hatipoglu, Sevgi</creator><creator>Kaymakcioglu, Nihat</creator><creator>Tufan, Turgut</creator><creator>Yava, Ayla</creator><creator>Iyigun, Emine</creator><creator>Senses, Zeynep</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200912</creationdate><title>The effect of nurse-performed preoperative skin preparation on postoperative surgical site infections in abdominal surgery</title><author>Dizer, Berna ; Hatipoglu, Sevgi ; Kaymakcioglu, Nihat ; Tufan, Turgut ; Yava, Ayla ; Iyigun, Emine ; Senses, Zeynep</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5165-7932fd1a7b2153ca9d8888d14986841ed33c99757944cca345df94068e85b5b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abdomen - surgery</topic><topic>Abdominal surgery</topic><topic>Adult</topic><topic>Anti-Infective Agents, Local</topic><topic>chlorhexidine</topic><topic>Chlorhexidine - administration & dosage</topic><topic>clipper</topic><topic>Effects</topic><topic>Female</topic><topic>Hair Removal</topic><topic>Humans</topic><topic>Infections</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Nurses</topic><topic>Nursing</topic><topic>nursing care</topic><topic>Postoperative Complications</topic><topic>Postoperative period</topic><topic>preoperative skin preparation</topic><topic>Skin</topic><topic>surgical site infection</topic><topic>Surgical Wound Infection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dizer, Berna</creatorcontrib><creatorcontrib>Hatipoglu, Sevgi</creatorcontrib><creatorcontrib>Kaymakcioglu, Nihat</creatorcontrib><creatorcontrib>Tufan, Turgut</creatorcontrib><creatorcontrib>Yava, Ayla</creatorcontrib><creatorcontrib>Iyigun, Emine</creatorcontrib><creatorcontrib>Senses, Zeynep</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dizer, Berna</au><au>Hatipoglu, Sevgi</au><au>Kaymakcioglu, Nihat</au><au>Tufan, Turgut</au><au>Yava, Ayla</au><au>Iyigun, Emine</au><au>Senses, Zeynep</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of nurse-performed preoperative skin preparation on postoperative surgical site infections in abdominal surgery</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2009-12</date><risdate>2009</risdate><volume>18</volume><issue>23</issue><spage>3325</spage><epage>3332</epage><pages>3325-3332</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aim. To determine the effect of preoperative skin preparation procedures performed by nurses on postoperative surgical site infection in abdominal surgery.
Background. Despite all interventions, postoperative SSIs still greatly affect mortality and morbidity.
Design. This is an experimental study.
Methods. Procedures developed for nurse application of preoperative skin preparations were tested on a control group (n = 39) and study group (n = 43).
Results. Only clinical routines for preoperative skin preparation were performed on the control group patients. Control group members’ skins were mostly prepared by shaving with a razor blade (41%). For the study group members, the researchers used the preoperative skin preparation procedure. Clippers were used to prepare 55·8% of study group members while 44·2% of them were not treated with the clipper because their wounds were clean. As a requirement of the procedure, all members of the study group had a chlorhexidine bath at least twice after being hospitalised and at least once a night before the operation under controlled conditions. In the group where chlorhexidine bath was not applied, the infection risk was found to be 4·76 times (95%CI = 1·20–18·83) greater even after corrections for age and gender had been made. The difference between control group and study group with respect to surgical site infections was also statistically significant (p < 0·05).
Conclusion. Preoperative skin preparation using clipper on the nights before an operation and a 50 ml chlorhexidine bath excluding head area taken twice in the pre‐operative period are useful to reduce SSI during postoperative period.
Relevance to clinical practice. We find that preoperative skin preparation using the procedures developed as a result of findings of this study is useful in reducing surgical site infection during the postoperative period.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19930089</pmid><doi>10.1111/j.1365-2702.2009.02885.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of clinical nursing, 2009-12, Vol.18 (23), p.3325-3332 |
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| subjects | Abdomen - surgery Abdominal surgery Adult Anti-Infective Agents, Local chlorhexidine Chlorhexidine - administration & dosage clipper Effects Female Hair Removal Humans Infections Male Middle Aged Mortality Nurses Nursing nursing care Postoperative Complications Postoperative period preoperative skin preparation Skin surgical site infection Surgical Wound Infection |
| title | The effect of nurse-performed preoperative skin preparation on postoperative surgical site infections in abdominal surgery |
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