THIEME 156 Original Article
Antisepsis Techniques in Orthopedic Surgical Procedures: A Comparative Study Técnicas de antissepsia em procedimentos cirúrgicos ortopédicos: um estudo comparativo Eugênio César Mendes1,2 Mauro de Castro Carvalho2 Rafael Baroni Carvalho2 Célio Alves Ferraz2 Diba Maria S.T. Souza1 Taylor B. Schnaider1,2
1 Universidade do Vale do Sapucaí, Pouso Alegre, Minas Gerais, MG, Address for correspondence Eugênio César Mendes, MD, MSc, Brazil Universidade do Vale do Sapucaí, Avenida Tuany Toledo 470, Pouso 2 Department of Orthopedics and Traumatology, Hospital das Clínicas Alegre, MG, 37550-000, Brasil Samuel Libânio, Pouso Alegre, Minas Gerias, MG, Brazil (e-mail: [email protected]).
Rev Bras Ortop 2020;55(2):156–162.
Abstract Objective To compare antisepsis techniques using chlorhexidine-based soap associ- ated with ethyl alcohol and alcohol-based chlorhexidine or chlorhexidine-based soap associated with alcohol-based chlorhexidine alone in surgical orthopedic procedures. Methods This is a primary, randomized, analytical and single-center clinical trial consisting of 170 patients, who were divided into 2 groups. The combinations chlorhexidine-based soap þ alcohol-based chlorhexidine (CSAC) and chlorhexidine- based soap þ 70% ethyl alcohol þ alcohol-based chlorhexidine (CSAAC) were tested in each group. The cultures were grown in mannitol and eosin methylene blue (EMB) after collection before skin preparation (time point 0), after skin preparation (time point 1) and at the end of the surgical procedure (time point 2). Keywords Results There was no statistically significant difference regarding bacterial growth in ► chlorhexidine mannitol and EMB between the groups at any time point. Moreover, there was no ► infection statistical difference between groups and time points regarding the type of bacterial ► orthopedics growth in culture media. ► operating rooms Conclusion There was no difference between these antisepsis techniques for the ► antisepsis prevention of surgical site infection in orthopedic procedures; in addition, a protocol ► surgical procedures containing measures to prevent infection in such procedures was developed.
Resumo Objetivo Comparar as técnicas de antissepsia utilizando clorexidina degermante associada a álcool etílico e a clorexidina alcoólica versus clorexidina degermante associada a clorexidina alcoólica, em procedimentos cirúrgicos ortopédicos. Métodos Trata-se de um estudo clínico, primário, aleatorizado, analítico e de centro único, constituído por 170 pacientes ortopédicos submetidos a abordagem cirúrgica, alocados em 2 grupos aleatórios, nos quais foram testados clorexidina degermante þ