BACKGROUND: Skin preparation with antiseptic agents is commonly recommended for incisional site cleansing before surgery. We present the result of a prospective case series submitted to a scheduled pre-operative antiseptic procedure combining chlorhexidine gluconate and povidone-iodine before elective laparoscopic cholecystectomy. PATIENTS AND METHODS: Consecutive patients underwent pre-operative standardized cleansing of the operation site combining chlorhexidine gluconate and povidone-iodine. Patients were reviewed one week and four weeks post-operatively.RESULTS: Post-operative infection was observed in seven patients (4.3%). All observed infections were port-site infections, always located at the level of the umbilical incision. In all cases infections involved skin and subcutaneous tissue. Staphylococcus aureus was isolated in five patients (71.4%) and miscellaneous aerobic gram-positive bacteria in two subjects (28.6%). Post-operative hospital stay was the only factor significantly associated with the development of port-site infections. CONCLUSIONS: Port-site infections are a common complication after elective laparoscopic cholecystectomy. The proposed pre-operative disinfection procedure is effective in reducing port-site infections. Reducing hospital stay may contribute to limiting the occurrence of this complication.

Pre-operative skin antisepsis with chlorhexidine gluconate and povidone-iodine to prevent port-site infection in laparoscopic cholecystectomy. a prospective study / Spaziani, E; Di Filippo, A; Orelli, S; Fiorini, F; Spaziani, M; Tintisona, O; Torcasio, A; De Cesare, A; Picchio, M.. - In: SURGICAL INFECTIONS. - ISSN 1096-2964. - STAMPA. - 19:3(2018), pp. 334-338. [10.1089/sur.2017.269]

Pre-operative skin antisepsis with chlorhexidine gluconate and povidone-iodine to prevent port-site infection in laparoscopic cholecystectomy. a prospective study

Spaziani E
Conceptualization
;
Di Filippo A
Data Curation
;
Orelli S
Data Curation
;
De Cesare A
Membro del Collaboration Group
;
Picchio M.
Writing – Review & Editing
2018

Abstract

BACKGROUND: Skin preparation with antiseptic agents is commonly recommended for incisional site cleansing before surgery. We present the result of a prospective case series submitted to a scheduled pre-operative antiseptic procedure combining chlorhexidine gluconate and povidone-iodine before elective laparoscopic cholecystectomy. PATIENTS AND METHODS: Consecutive patients underwent pre-operative standardized cleansing of the operation site combining chlorhexidine gluconate and povidone-iodine. Patients were reviewed one week and four weeks post-operatively.RESULTS: Post-operative infection was observed in seven patients (4.3%). All observed infections were port-site infections, always located at the level of the umbilical incision. In all cases infections involved skin and subcutaneous tissue. Staphylococcus aureus was isolated in five patients (71.4%) and miscellaneous aerobic gram-positive bacteria in two subjects (28.6%). Post-operative hospital stay was the only factor significantly associated with the development of port-site infections. CONCLUSIONS: Port-site infections are a common complication after elective laparoscopic cholecystectomy. The proposed pre-operative disinfection procedure is effective in reducing port-site infections. Reducing hospital stay may contribute to limiting the occurrence of this complication.
2018
incision infection, laparoscopic cholecystectomy, pre-operative antisepsis
01 Pubblicazione su rivista::01a Articolo in rivista
Pre-operative skin antisepsis with chlorhexidine gluconate and povidone-iodine to prevent port-site infection in laparoscopic cholecystectomy. a prospective study / Spaziani, E; Di Filippo, A; Orelli, S; Fiorini, F; Spaziani, M; Tintisona, O; Torcasio, A; De Cesare, A; Picchio, M.. - In: SURGICAL INFECTIONS. - ISSN 1096-2964. - STAMPA. - 19:3(2018), pp. 334-338. [10.1089/sur.2017.269]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1083011
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