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Journal of the American College of Surgeons
Volume 207, Issue 2
, Pages 233-239
, August 2008
Preoperative Shower Revisited: Can High Topical Antiseptic Levels Be Achieved on the Skin Surface Before Surgical Admission?
References
- The Hospital Infection Control Practice Advisory Committee, Guidelines for the prevention of surgical site infections. Am J Infect Control. 1999;27:97–132
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- . Prospective, randomized trial of povidone iodine, alcohol and chlorhexidine for prevention of infection associated with central venous and arterial catheters. Lancet. 1991;338:339–343
- . Cost-effective analysis of chlorhexidine gluconate dressing in prevention of catheter-related bloodstream infections. Infect Control Hosp Epidemiol. 2004;25:668–674
- . In-use efficacy of a chlorhexidine in alcohol surgical rub: a comparative study. ANZ J Surg. 2004;74:769–772
- Chlorhexidine gluconate 0.12% oral rinse reduces the incidence of total nosocomial respiratory infection and nonprophylactic systemic antibiotic use in patients undergoing heart surgery. Chest. 1996;109:1556–1561
- . A clinical study comparing the skin antisepsis and safety of ChloroPrep, 70% isopropyl alcohol, and 2% aqueous chlorhexidine. J Infus Nurs. 2002;25:244–249
- Chlorhexidine gluconate to cleanse patients in a medical intensive care unit. Arch Intern Med. 2006;166:306–321
- . Chlorhexidine gluconate. In: Paulson DS editors. Handbook of topical antimicrobials: industrial applications in consumer products and pharmaceuticals. New York: Marcel Dekker; 2003;p. 117–122
- Comparative of a new and innovative 2% chlorhexidine gluconate-impregnated cloth with 4% chlorhexidine gluconate as topical antiseptic for preparation of the skin prior to surgery. Am J Infect Control. 2007;35:89–96
- Manual of clinical microbiology. 9th ed.. Washington, DC: American Society for Microbiology; 2007;
- . Method for dilution antimicrobial susceptibility testing for bacteria that grow aerobically. 5th ed.. Wayne, PA: National Committee for Clinical Laboratory Standard; 2000;Approved standard. NCCLS publication M7-A5
- The USP Official Monograph for the identification of chlorhexidine gluconate solution (The United States Pharmacopeia (USP 29), The National Formulary (NF 24)). In: Rockville, MD: The United States Pharmacopeia Convention; 2006;p. 477–478
- . A systems approach to preoperative surgical patient skin preparation. Am J Infect Control. 2004;32:57–62
- . Does preoperative antimicrobial scrub reduce positive surgical site culture rates in men undergoing artificial urinary sphincter placement. J Urol. 2007;178:1328–1332
- Significant pathogens isolated from a community hospital in the Midwest. Am J Infect Control. 2006;34:526–529
- Emergence of community-associated methicillin-resistant Staphylococcus aureus SA clone 300 as a cause of healthcare-associated infections among patients with prosthetic joint infections. Am J Infect Control. 2005;33:385–391
- . Cost and morbidity of MRSA in head and neck cancer patients: what are the consequences?. J Laryngol Otol. 2004;118:694–699
- Nasal carriage of methicillin-resistant Staphylococcus aureus in vascular surgery. Ann Vasc Surg. 2006;20:767–772
- Methicillin-resistant Staphylococcus aureus on the orthopaedic wards: incidence, spread, mortality, cost and control. J Bone Joint Surg Br. 2006;88:812–817
Disclosure Information: The following disclosure has been reported by the author: Dr Edmiston received an unrestricted research grant as an investigator for Sage Products, Inc. No one derived personal compensation from this grant. The grant was used, in part, to purchase supplies such as the 4% CHG and the 2% CHG cloths along with other material used in the study. These monies were also used to support other research activities in the laboratory that are not related to any skin-prepping product.This study was also supported by monies from our Surgical Microbiology Research Laboratory Fund, a separate independent fund administered by the Department of Surgery, Medical College of Wisconsin that is used for research support.
PII: S1072-7515(08)00177-4
doi: 10.1016/j.jamcollsurg.2007.12.054
© 2008 American College of Surgeons. Published by Elsevier Inc. All rights reserved.
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Journal of the American College of Surgeons
Volume 207, Issue 2
, Pages 233-239
, August 2008
