Pre-operative Preparation Using 2% Chlorhexidine Cloth For Shoulder Surgery
| Status: | Archived |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/1/2011 |
| Start Date: | January 2010 |
| End Date: | August 2010 |
Efficacy of Home Pre-Operative Use of 2% Chlorhexidine Cloths Prior to Shoulder Surgery
We intend to determine how effective the use of a 2% Chlorhexidine Cloth is in terms of
eliminating the bacterial load on patients undergoing shoulder surgery. We will be
comparing the Chlorhexidine Cloths with a control group which will be performing an ordinary
shower prior to surgery. At this time, it is standard of care to only take an ordinary
shower the evening prior, and the morning of surgery.
The use of home preoperative chlorhexidine wash has been used in various surgical fields for
the prevention of perioperative infections. However, it's use in shoulder surgery has not
been published up to this point. The shoulder has a unique microbial flora due to the
prevalence of Propionibacterium acnes, a bacteria implicated in surgical site infections
after shoulder surgery. This study is designed to examine the efficacy of using a
preoperative Sage 2% chlorhexidine cloth in reducing bacterial load in the pre-operative
area as well as in reducing post-operative surgical site infections after shoulder surgery.
This study will compare the rate of post-operative infections and also the rate of positive
skin cultures. The skin cultures will be obtained in the preoperative area from subjects
who used the Sage 2% Chlorhexidine cloth protocol pre-operatively (n=50) versus those who
used only soap and water (n=50).
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