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Possibility of Extension of Pre-operative Patient Preparation by Antiseptic Shower at the University Hospital Brno

Journal of Health Science 2018年第5期6卷 374-378页

作者： silvie hodová Pavel Turcáni Markéta Hanslianová Department of Infection Control and Hospital Hygiene University Hospital Brno Jihlavská 20 620 00 Brno Czech Republic Clinic of Pulmonary Diseases and Tuberculosis University Hospital Brno Jihlavská 20 620 00 Brno Czech Republic Department of Clinical Microbiology University Hospital Brno Jihlavská 20 620 00 Brno Czech Republic

Ensuring complex pre-operative patient preparation before planned surgery is an essential preventive measure of SSIs （surgical site infections）. The aim of this study was to evaluate the difference in the effectiveness of the use of common soap and a tested product to reduce the occurrence of bacterial microorganisms on the skin surface in the area of the assumed surgical incision. Two hypotheses have been identified： H0： the tested product can be considered as beneficial for common pre-operative patient preparation in the incision area in order to significantly reduce the microbial load （decrease in CFU on a defined area of the blood agar by half of the original number and less）. H1： the tested product exceeds common soap by at least 20% when reducing the microbial load in the incision area. There were 80 microbiological prints examined on filter paper using the cultivation method on culture medium. The statistical method of the classic hypothesis test on the binomial distribution parameter versus the one-sided alternative has been used to process the results for the occurrence of microorganisms. The statistical processing of the results obtained by microbiological examination of prints allows for the confirmation of H0 and rejection of the H1 hypothesis. The results have shown the importance of proper pre-operative hygiene of the patient’s skin, regardless of the detergent base.

关键词： Skin decolonisation pre-operative preparation SSI

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