Effect of chlorhexidine pretreatment on bacterial contamination at rhinoplasty field View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-12-30

AUTHORS

Shin Hye Kim, Keng Lu Tan, Sang Yeon Lee, Dae Woo Kim, Sue Shin, Hong-Ryul Jin

ABSTRACT

BackgroundThis study investigated on bacterial contamination of the rhinoplasty field. The effect of preoperative chlorhexidine treatment on decreasing bacterial contamination in the rhinoplasty field is examined. MethodsThirty patients who underwent rhinoplasty were block randomized into a chlorhexidine, regular-soap, or control group comprising ten participants each. The chlorhexidine group was subjected to chlorhexidine showering, shampooing, and facial-cleansing 12 h prior to the operation. The regular-soap group was subjected to cleansing with regular soap, and the control group did not have any skin pretreatment. Bacterial cultures were done 12 h preoperatively from nasal cavity and perinasal skin, immediately preoperatively from perinasal skin and at 1 and 2 h intraoperatively from operation field. Culture results were compared between the three groups, according to operation time, or whether infection-prone procedure was performed.ResultsThe bacterial species and colony-forming unit numbers at preoperative nasal cavity and perinasal skin were similar. In all three groups, Coagulase-negative staphylococcus was the most common bacteria found in the rhinoplasty field. The numbers of Staphylococcus aureus and Corynebacterium decreased rapidly after preoperative chlorhexidine treatment. The infection-prone procedure was associated with increased bacterial numbers over time during the operation. In all three groups, there was no postoperative infection in a follow-up period of 6 months.ConclusionRhinoplasty is confirmed as a clean contaminated operation with skin flora consistently found in the operation field. Chlorhexidine pretreatment in rhinoplasty patients has a tendency to decrease the numbers of Staphylococcus aureus and Corynebacterium on the perinasal skin.Level of evidenceRandomized controlled trial, Level I. More... »

PAGES

2116

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s40064-016-3679-y

DOI

http://dx.doi.org/10.1186/s40064-016-3679-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1049935641

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28090430


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