Outpatient Surgery Magazine

The Great Prepping Debate - December 2012 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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OSE_1212_part2_Layout 1 12/5/12 9:49 AM Page 56 S U R G I C A L S K I N A N T I S E P S I S MULTIPLE BENEFITS Single-use chlorhexidine units can apply faster, dry quicker on skin, increase drape adhesion and reduce cross-contamination risk. study found fewer SSIs with CHG use, says Ms. Pettis.1 That study, however, was limited, as it didn't compare CHG with a P-I/alcohol combination product. Because of this, "some lingering controversy exists over which prep solution is most effective," says Ms. Greene. "Also, some surgeons feel that the iodine preparation gives greater visibility of the prep site, which they may prefer." Further, despite the increased acceptance for CHG, it's contraindicated in a number of procedures, including those involving mucous membranes. "[CHG] must not be used for ophthalmic, ENT and some plastic surgery cases," reminds Ms. Pettis. "It's also off-label for neurosurgical cases involving the meninges, nor would it be prudent for use on 5 6 O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | D E C E M B E R 2012

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