Jun 29

Llega a la Pre Admisión la preparación cutánea con clorhexidina para reducir las infecciones del sitio quirúrgico después de la artroplastia total de cadera?

Does Preadmission Cutaneous Chlorhexidine Preparation Reduce Surgical Site Infections After Total Hip Arthroplasty?

 

Fuente
Este artículo es originalmente publicado en:
De:
Clin Orthop Relat Res. 2016 Jul;474(7):1583-8. doi: 10.1007/s11999-016-4748-9.
Todos los derechos reservados para:
© Springer International Publishing AG, Part of Springer Science+Business Media

Abstract

BACKGROUND:

Periprosthetic hip infections are among the most catastrophic complications after total hip arthroplasty (THA). We had previously proven that the use of chlorhexidine cloths before surgery may help decrease these infections; hence, we increased the size of the previously reported cohort.

QUESTIONS/PURPOSES:

(1) Does a preadmission chlorhexidine cloth skin preparation protocol decrease the risk of surgical site infection in patients undergoing THA? (2) When stratified using the National Healthcare Safety Network (NHSN) risk categories, which categories are associated with risk reduction from the preadmission chlorhexidine preparation protocol?

CONCLUSIONS:

The results of our study suggest that this cloth application appears to reduce the risk of infection in patients undergoing THA. When stratified by risk categories, we found no difference in the infection rate, but these findings were underpowered. Although future multicenter randomized trials will need to confirm these preliminary findings, the intervention is inexpensive and is unlikely to be risky and so might be considered on the basis of this retrospective, comparative study.

 

RESUMEN
ANTECEDENTES:
infecciones periprotésicas de cadera son algunas de las complicaciones más catastróficas después de la artroplastia total de cadera (THA). Habíamos demostrado previamente que el uso de paños de clorhexidina antes de la cirugía puede ayudar a disminuir estas infecciones; Por lo tanto, hemos aumentado el tamaño de la cohorte se informó anteriormente.
PREGUNTAS / propósitos:
(1) ¿Tiene un protocolo de preparación de la piel paño de preadmisión clorhexidina disminuir el riesgo de infección del sitio quirúrgico en pacientes sometidos a una artroplastia? (2) Cuando se estratificó utilizando las categorías de riesgo Red Nacional de Seguridad Sanitaria (NHSN), que las categorías están asociadas con la reducción del riesgo del protocolo de preparación previa a la hospitalización de clorhexidina?
CONCLUSIONES:
Los resultados de nuestro estudio sugieren que esta aplicación paño parece reducir el riesgo de infección en pacientes sometidos a THA. Cuando se estratificó por categorías de riesgo, no se encontraron diferencias en la tasa de infección, pero estos hallazgos eran de poca potencia. A pesar de que los futuros ensayos multicéntricos aleatorizados necesitarán para confirmar estos hallazgos preliminares, la intervención es barato y es poco probable que sea riesgoso y así podría considerarse sobre la base de este estudio retrospectivo, comparativo.

LEVEL OF EVIDENCE:

Level III, therapeutic study.

PMID:26891898PMCID: PMC4887363 [Available on 2017-07-01] DOI: 10.1007/s11999-016-4748-9
[PubMed – in process]

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