Single versus Double Skin Preparation for Infection Prevention in Proximal Humeral Fracture Surgery
Joint Authors
Blonna, Davide
Allizond, Valeria
Banche, Giuliana
Cuffini, Anna Maria
Rossi, Roberto
Castoldi, Filippo
Bellato, Enrico
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-14
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Preoperative skin preparation plays a major role in preventing postoperative infections.
This study aims to compare a single skin preparation (povidone iodine) with a double skin preparation (chlorhexidine gluconate followed by povidone iodine).
Forty patients affected by proximal humeral fracture were included in the study.
The day of surgery the two skin preparation strategies were performed in the same shoulder, divided into two areas, at the level of the deltopectoral approach.
Skin swabs were collected from each area and subjected to microbiological analysis.
Both skin preparations significantly reduced the positive culture rate.
Coagulase-negative staphylococci (CoNS) dropped from 92.5% to 40% and to 7.5% after the single and double skin preparation (p<0.001), respectively.
The positivity rate was reduced from 50% to 17.5% (p=0.002) and from 27.5% to 0% (p= 0.001) for Propionibacterium acnes and Staphylococcus aureus, respectively, with no difference between the two preparations.
The double skin preparation had a more significant effect on bacterial load against CoNS compared to the single skin preparation (p<0.001 versus p= 0.015).
In conclusion, both the approaches reduced S.
aureus and P.
acnes skin load, whereas the double skin preparation is more effective than the single one against CoNS.
In light of our findings, preoperative strategies able to reduce bacterial load could potentially increase the final efficacy of perioperative traditional skin preparations.
American Psychological Association (APA)
Blonna, Davide& Allizond, Valeria& Bellato, Enrico& Banche, Giuliana& Cuffini, Anna Maria& Castoldi, Filippo…[et al.]. 2018. Single versus Double Skin Preparation for Infection Prevention in Proximal Humeral Fracture Surgery. BioMed Research International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1129202
Modern Language Association (MLA)
Blonna, Davide…[et al.]. Single versus Double Skin Preparation for Infection Prevention in Proximal Humeral Fracture Surgery. BioMed Research International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1129202
American Medical Association (AMA)
Blonna, Davide& Allizond, Valeria& Bellato, Enrico& Banche, Giuliana& Cuffini, Anna Maria& Castoldi, Filippo…[et al.]. Single versus Double Skin Preparation for Infection Prevention in Proximal Humeral Fracture Surgery. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1129202
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129202