Preoperative hair removal to reduce surgical site infection.

Derby Hospitals NHS FoundationTrust, Derby City General Hospital, Uttoxeter Road, Derby, Derbyshire, UK DE22 3NE.
Cochrane database of systematic reviews (Online) (Impact Factor: 5.7). 02/2006; DOI: 10.1002/14651858.CD004122.pub3
Source: PubMed

ABSTRACT The preparation of people for surgery has traditionally included the routine removal of body hair from the intended surgical wound site. However, there are studies which claim that pre-operative hair removal is deleterious to patients, perhaps by causing surgical site infections (SSIs), and should not be carried out.
The primary objective of this review was to determine if routine pre-operative hair removal results in fewer SSIs than not removing hair.
The reviewers searched the Cochrane Wounds Group Specialised Register (October 2005), The Cochrane Central Register of Controlled Trials (The Cochrane Library Issue 3, 2005), MEDLINE (1966 to 2005), EMBASE (1980 to 2005), CINAHL (1982 to 2005), and the ZETOC database of conference proceedings (1993 to 2005). We also contacted manufacturers of hair removal products.
Randomised controlled trials (RCTs) comparing hair removal with no hair removal, different methods of hair removal, hair removal conducted at different times prior to surgery and hair removal carried out in different settings.
Three authors independently assessed the relevance and quality of each trial. Data was extracted independently by one author and cross checked for accuracy by a second author.
Eleven RCTs were included in this review. Three trials involving 625 people compared hair removal using either depilatory cream or razors with no hair removal and found no statistically significant difference between the groups in terms of surgical site infections. No trials were identified which compared clipping with no hair removal. Three trials involving 3193 people compared shaving with clipping and found that there were statistically significantly more SSIs when people were shaved rather than clipped (RR 2.02, 95%CI 1.21 to 3.36). Seven trials involving 1213 people compared shaving with removing hair using a depilatory cream and found that there were statistically significantly more SSIs when people were shaved than when a cream was used (RR 1.54, 95%CI 1.05 to 2.24). No trials were found that compared clipping with a depilatory cream. One trial compared shaving on the day of surgery with shaving the day before surgery and one trial compared clipping on the day of surgery with clipping the day before surgery; neither trial found a statistically significant difference in the number of SSIs. No trials were found that compared depilatory cream at different times or that compared hair removal in different settings.
The evidence finds no difference in SSIs among patients who have had hair removed prior to surgery and those who have not. If it is necessary to remove hair then both clipping and depilatory creams results in fewer SSIs than shaving using a razor. There is no difference in SSIs when patients are shaved or clipped one day before surgery or on the day of surgery.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Foram analisadas 19 amostras de "Adoçantes Natu rais de Stevia", tendo por objetivo verificar-se a presença de outros adoçantes nao calóricos sintéticos que não são declarados no rótulo do produto. Constatou-se que em 18 amostras,além de componentes do extrato de Stevia reubadiana (Bert.) Bertoni, a sacarina estava presente e que só uma delas declarava tal fato no rótulo. Em três dessas amostras foi encontrado tanbém aspartame e em uma, ciclamato. Fimalmente, em uma amostra não foi encontrado nenhum componente do extrato de Stevia rebaudiana (Bert.) Bertoni, mas sim uma mistuna de manitol e aspartame.
    Revista Brasileira de Farmacognosia 12/1988; 2-3-4:53-61. · 0.68 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Healthcare-associated infections (HAIs) continue to be a tremendous issue today. It is estimated 1.7 million HAIs occur per year, and cost the healthcare system up to $45 billion annually. Surgical site infections (SSIs) alone account for 290,000 of total HAIs and approximately 8,000 deaths. In today's rapidly changing world of medicine, it is ever important to remain cognizant of this matter and its impact both globally and on the individual lives of our patients. This review aims to impress upon the reader the unremitting significance of HAIs in the daily practice of medicine. Further, we discuss the etiology of HAIs and review successful preventive measures that have been demonstrated in the literature. In particular, we highlight preoperative, intraoperative, and postoperative interventions to combat SSIs. Finally, we contend that current systems in place are often insufficient, and emphasize the benefits of institution-wide adoption of multiple preventive interventions. We hope this concise update and review can inspire additional dialogue for the continuing progress towards improving patient care and patient lives.
    Patient Safety in Surgery 01/2014; 8(1):42.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Surgical site infection (SSI) is a serious complication after cardiac surgery; skin preparation is an important step in the prevention of wound contamination with skin flora. In this study, two different skin preparation strategies (standard povidine iodine cleaning plus plain adhesive drape and microbial sealant (InteguSeal, Kimberly-Clark Health Care, Roswell, GA, USA) were compared in cardiac surgery patients.
    The Journal of Infection in Developing Countries 07/2014; 8(7):885-90. · 1.00 Impact Factor


Available from