Skin disinfection

Skin disinfection is a process that involves the application of a disinfectant to reduce levels of microorganisms on the skin.[1] Disinfecting the skin of the patient and the hands of the healthcare providers are an important part of surgery.[1]

Skin disinfection may be accomplished with a number of solutions including providone-iodine, chlorhexidine, alcohol based solutions, and cetrimide.[2] There is strong evidence that chlorhexidine and denatured alcohol use to clean skin prior to surgery is better than any other commercially available antiseptic, such as povidone-iodine with alcohol.[3][4]

Its importance in health care was determined by Semmelweis in the 1840s.[5]

References
  1. Krettek, Christian; Aschemann, Dirk (2006). Positioning Techniques in Surgical Applications: Thorax and Heart Surgery - Vascular Surgery - Visceral and Transplantation Surgery - Urology - Surgery to the Spinal Cord and Extremities - Arthroscopy - Pediatric Surgery - Navigation/ISO-C 3D. Springer Science & Business Media. p. 10. ISBN 9783540309529.
  2. British national formulary : BNF 69 (69 ed.). British Medical Association. 2015. p. 839. ISBN 9780857111562.
  3. Wade, Ryckie G; Bourke, Gráinne; Wormald, Justin C R; Totty, Joshua Philip; Stanley, Guy Henry Morton; Lewandowski, Andrew; Rakhra, Sandeep Singh; Gardiner, Matthew D; Bindra, R; Sher, M; Thomas, M; Morgan, S D J; Hwang, B; Santucci, W; Tran, P; Kopp, L; Kunc, V; Hamdi, A; Grieve, P P; Mukhaizeem, S A; Blake, K; Cuggy, C; Dolan, R; Downes, E; Geary, E; Ghadge, A; Gorman, P; Jonson, M; Jumper, N; Kelly, S; Leddy, L; McMahon, M E; McNamee, C; Miller, P; Murphy, B; O'Halloran, L; O’Shea, K; Skeens, J; Staunton, S; Timon, F; Woods, J; Cortinovis, U; Sala, L; Zingarello, V; Jusoh, M H; Sadagatullah, A N; Georgieva, G; Pejkova, S; Nikolovska, B; Srbov, B; Hamid, H K S; Mustafa, M; Abdelrahman, M; Amin, S M M; Bhatti, D; Rahman, K M A; Jumabhoy, I; Kiely, J; Kieran, I; Lo, A C Q; Wong, K Y; Allan, A Y; Armes, H; Horwitz, M D; Ioannidi, L; Masterton, G; Chu, H; Talawadekar, G D; Tong, K S; Chan, M; Tredgett, M; Hardie, C; Powell-Smith, E; Gilham, N; Prokopenko, M; Ahmad, R; Davies, J; Zhen, S; Dargan, D; Pinder, R M; Koziara, M; Martin, R; Reay, E; Cochrane, E; Elbatawy, A; Green, F; Griffiths, T; Higginbotham, G; Louette, S; McCauley, G; Natalwala, I; Salt, E; Ahmed, R; Goon, P; Manton, R; Segaren, N; Cheung, G; Mahoney, R; Sen, S; Clarkson, D; Collins, M; Bolt, A; Lokanathan, P; Ng, A; Jones, G; Jones, J W M; Kabariti, R; Rhee, S J; Herron, J; Kay, A; Cheung, L K; Thomson, D; Jugdey, R S; Yoon, H; L, Z; Southgate, J; Brennan, C; Kiani, S; Zabaglo, M; Haider, Z A; Poulter, R; Sheik-Ali, A; Watts, A; Jemec, B; Redgrave, N; Dupley, L; Greenhalgh, M; Vella, J; Harris, H; Robinson, A V; Dupre, S; Teelucksingh, S; Gargan, A; Hettiaratchy, S; Jain, A; Kwasnicki, R; Lee, A; Thakkar, M; Berwick, D; Ismail, N; Mahdi, M; Rodrigues, J; Liew, C; Saadya, A; Clarkson, M; Brady, C; Harrison, R; Rayner, A; Nolan, G; Phillips, B; Madhusudan, N (9 November 2021). "Chlorhexidine versus povidone–iodine skin antisepsis before upper limb surgery (CIPHUR): an international multicentre prospective cohort study". BJS Open. 5 (6): zrab117. doi:10.1093/bjsopen/zrab117.
  4. Wade, Ryckie G.; Burr, Nicholas E.; McCauley, Gordon; Bourke, Grainne; Efthimiou, Orestis (December 2021). "The Comparative Efficacy of Chlorhexidine Gluconate and Povidone-iodine Antiseptics for the Prevention of Infection in Clean Surgery: A Systematic Review and Network Meta-analysis". Annals of Surgery. 274 (6): e481–e488. doi:10.1097/SLA.0000000000004076.
  5. Maibach, H. I.; Aly, Raza (2012). Skin Microbiology: Relevance to Clinical Infection. Springer Science & Business Media. p. Part two. ISBN 9781461258681.
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