A Prospective Study of Evaluation of Different Methods of Preoperative Hair Removal And Their Relationship To Postoperative Wound Infection
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 10
Abstract
INTRODUCTION - Wound site infections are a major source of postoperative illness, accounting for approximately a quarter of all nosocomial infections. The prevention of surgical site infections encompasses meticulous operative technique, timely administration of appropriate preoperative antibiotics, and a variety of preventive measures. As part of the antiseptic steps taken to reduce postoperative wound infection, different methods of hair removal are employed when preparing patients for operations. OBJECTIVES - The present study was a prospective comprehensive study carried out on 1000 patients undergoing elective surgeries over a period of two years (2012 & 2013), in M. G. Hospital, Department of Surgery attached to Dr. S.N. Medical College , Jodhpur. This study aimed to evaluate the relationship of different methods of preoperative hair removal to postoperative wound infection. METHODOLOGY - Consecutive consenting patients scheduled to have elective surgery (clean and clean contaminated) were randomized into four groups as per preoperative hair removal method used. Details of the procedures were recorded and patients were then assessed for postoperative wound infection. RESULTS-In the present study overall rate of SSI was 19.40%. The maximum rate of SSI was found in razor group (28.25%) that is followed by clipper group 15%, cream group 13% and minimum rate of SSI was found in No Hair Removal group 8%. This difference in rate of SSI in different methods of Hair removal was statistically significant. CONCLUSION- Hairs should not be removed preoperatively unless the hair at or around the incision site will interfere with the operation. If removal of hair is necessary then it should be done immediately before surgery, and preferably with clippers or cream.
Authors and Affiliations
Dr. Mukesh Kumar Gupta
Keywords
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