Preoperative skin preparation for abdominal surgery in 187 hospitals of China
10.3969/j.issn.1671-9638.2016.09.008
- VernacularTitle:全国187所医院腹部手术术前皮肤准备现状调查
- Author:
Yang CAO
;
Kun LIU
;
Xiaoning YUAN
;
Hui CHEN
;
Yuewei ZHANG
;
Li GUO
;
Yinghong WU
;
Wenying HE
;
Xuesong YANG
- Publication Type:Journal Article
- Keywords:
surgical site infeciton;
preoperative skin preparation;
hair removal;
skin disinfection;
surgical adhe-sive drape
- From:
Chinese Journal of Infection Control
2016;15(9):676-680,718
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status of preoperative skin preparation in abdominal surgery in China,and put forward suggestions for improvement.Methods From April to May,2016,187 secondary and above hospitals in China were selected,questionnaires were used to investigate the methods for hair removal,skin disinfection on operative field,and application of surgical adhesive drape in abdominal surgery.Results A total of 187 hospitals in 14 provinces were investigated,of which 108 and 79 were tertiary and secondary hospitals respec-tively.87.70% of hospitals performed conventional preoperative hair removal in abdominal surgery,the percentage of conventional depilation in secondary hospitals was higher than tertiary hospitals(93.67% vs 83.33%,χ2 =4.520,P =0.033).85.98% of hospitals selected blade-shaving,7.93% and 23.78% applied chemical depilation and electric depilation respectively.Most hospitals (98.17%)performed skin preparation in the wards,mainly by ward nurses (98.17%),and conducted on the day of surgery (56.10%).86.63%,29.95%,and 3.74% of hospi-tals used iodophor,iodine plus alcohol,and chlorhexidine respectively for disinfecting skin on operative field. 92.51% of hospitals used skin incision/surgical adhesive drape (74.57% used selectively).Conclusion Most hos-pitals in China conventionally perform preoperative hair removal in abdominal surgery,and the primary method for depilation is blade-shaving,nearly half of the hospitals performed depilation on the day of surgery.Iodophor is the major skin antiseptic,surgical adhesive drape is widely used,but it is utilized in limited types of surgery.
