Running head: RESEARCH SUMMARY TABLE: REDUCING SSIs WITH CHG BATHING 1
NR 505 Week 3 Assignment: Research Summary Table: Reducing Surgical Site Infections
(SSIs) with Frequent HCG Bathing
, RESEARCH SUMMARY TABLE: REDUCING SSIs WITH CHG BATHING 2
Reducing Surgical Site Infections (SSIs) with Chlorhexidine Gluconate (CHG) Bathing
- PICO Question: Does increasing frequency of chlorhexidine baths preoperatively decrease the
incidences of surgical site infections post-operatively?
Purpose of Research Data Collection Results Strengths and
Citations Research Designs and Methods Weaknesses
Sample
- To evaluate - Meta-analysis A search of electronic Overall, 6.8% of 10 out of 16 studies had
efficacy of to systematically databases was used to patients developed No standardized
¹http://proxy.chamberlain.edu: chlorhexidine in review of 16 identify prospective SSI in HCG group instruction between
8080/login?url=http://search. preoperative to published controlled trials compared with groups
ebscohost.com/login.aspx? prospective evaluating whole- 7.2% of the other Possible group
direct=true&db=ccm&AN=
prevent surgical controlled body preoperative groups. HCG selection bias
104061324&site=ehost-live site infections clinical trials; bathing with bathing did not No evidence of
(SSIs) chlorhexidine versus significantly instructions provided
n = 17,932 placebo or no bath reduce SSI when to patients
for prevention of SSI. compared with No compliance
7,952 patients soap, placebo, or Measured. 6/16 showed
received a HCG bath, no shower or bath statistical significance in
and 9,980 patients (relative risk, 0.90; HCG and SSI reduction.
were allocated to 95% confidence
various comparator interval: 0.77-1.05,
groups P = .19).
- To evaluate the -Prospective -Data obtained from -Statistically - Treatment interruption
effectiveness of cohort study over randomized significant finding when Sage recalled
²http://proxy.chamberlain.edu:
preoperative a 4 month controlled selection in that only 7/335 products- but those units
8080/login?url=http://search.
bathing with period. for interventional patients in were censored from the
ebscohost.com/login.aspx?
chlorhexidine Intervention group of 40 patients interventional final analysis
direct=true&db=ccm&AN=
gluconate (CHG) group n = 335 undergoing surgery group had SSIs -LOS and co-morbidities
104286731&site=ehost-live
cloths for reducing Non-intervention per week for 16 postoperatively as showed declining curves
surgical site group weeks = 335. For compared to at time of abstract.
infections comparative group, 17/284 SSIs seen
- n = 284 random data in the observation
collected via EBP of group from
284 patients from previous year.
same period of (P = .01)
previous year = 284
-To evaluate - Single center -The volunteers were - There was no - small population size
effectiveness of prospective randomized to 2 significant - no comparison from
³http://proxy.chamberlain.edu:
preop frequency of conducted at an HCG, 4%, showering difference in intervention group with a
8080/login?url=http://search.
baths with CHG to academic tertiary groups (2 vs3 concentrations non-antimicrobial wash
ebscohost.com/login.aspx?
increased care medical showers), containing between 2 (P = . group
direct=true&db=ccm&AN=
concentration to center from June 60 participants each, 001) and - no screening of their
111110761&site=ehost-live
HCG on skin 1, 2014, to and 3 subgroups (no 3 (P = .001) isolates for CHG
surface to reduce September, 30, pause, 1-minute showers or resistance
bacterial counts post 2014 pause, or between the 1- and
operatively. - n= 120 2-minute pause 2-minute pauses.
before rinsing),
containing 20
participants each
Decease SSI rate by - single-center, patients analyzed; -in HCG = 20% - small sample size
⁴http://proxy.chamberlain.edu: using 4% HCG + prospective n=49 cleaned feet (9/46) -no quantitative analysis
8080/login?url=http://search. 70% alcohol to randomized trial with propyl (control) versus done on cx
ebscohost.com/login.aspx? reduce skin bacterial versus n=46 cleaned IPA = 35% (17/49) -positive cx swab and
direct=true&db=ccm&AN= loads prior to -n= 95 with isopropyl follow after skin closure clinical data not well
115146553&site=ehost-live foot/ankle surgery by HCG (P = .07) established
-heterogeneity of foot
and ankle sx and OR time
NR 505 Week 3 Assignment: Research Summary Table: Reducing Surgical Site Infections
(SSIs) with Frequent HCG Bathing
, RESEARCH SUMMARY TABLE: REDUCING SSIs WITH CHG BATHING 2
Reducing Surgical Site Infections (SSIs) with Chlorhexidine Gluconate (CHG) Bathing
- PICO Question: Does increasing frequency of chlorhexidine baths preoperatively decrease the
incidences of surgical site infections post-operatively?
Purpose of Research Data Collection Results Strengths and
Citations Research Designs and Methods Weaknesses
Sample
- To evaluate - Meta-analysis A search of electronic Overall, 6.8% of 10 out of 16 studies had
efficacy of to systematically databases was used to patients developed No standardized
¹http://proxy.chamberlain.edu: chlorhexidine in review of 16 identify prospective SSI in HCG group instruction between
8080/login?url=http://search. preoperative to published controlled trials compared with groups
ebscohost.com/login.aspx? prospective evaluating whole- 7.2% of the other Possible group
direct=true&db=ccm&AN=
prevent surgical controlled body preoperative groups. HCG selection bias
104061324&site=ehost-live site infections clinical trials; bathing with bathing did not No evidence of
(SSIs) chlorhexidine versus significantly instructions provided
n = 17,932 placebo or no bath reduce SSI when to patients
for prevention of SSI. compared with No compliance
7,952 patients soap, placebo, or Measured. 6/16 showed
received a HCG bath, no shower or bath statistical significance in
and 9,980 patients (relative risk, 0.90; HCG and SSI reduction.
were allocated to 95% confidence
various comparator interval: 0.77-1.05,
groups P = .19).
- To evaluate the -Prospective -Data obtained from -Statistically - Treatment interruption
effectiveness of cohort study over randomized significant finding when Sage recalled
²http://proxy.chamberlain.edu:
preoperative a 4 month controlled selection in that only 7/335 products- but those units
8080/login?url=http://search.
bathing with period. for interventional patients in were censored from the
ebscohost.com/login.aspx?
chlorhexidine Intervention group of 40 patients interventional final analysis
direct=true&db=ccm&AN=
gluconate (CHG) group n = 335 undergoing surgery group had SSIs -LOS and co-morbidities
104286731&site=ehost-live
cloths for reducing Non-intervention per week for 16 postoperatively as showed declining curves
surgical site group weeks = 335. For compared to at time of abstract.
infections comparative group, 17/284 SSIs seen
- n = 284 random data in the observation
collected via EBP of group from
284 patients from previous year.
same period of (P = .01)
previous year = 284
-To evaluate - Single center -The volunteers were - There was no - small population size
effectiveness of prospective randomized to 2 significant - no comparison from
³http://proxy.chamberlain.edu:
preop frequency of conducted at an HCG, 4%, showering difference in intervention group with a
8080/login?url=http://search.
baths with CHG to academic tertiary groups (2 vs3 concentrations non-antimicrobial wash
ebscohost.com/login.aspx?
increased care medical showers), containing between 2 (P = . group
direct=true&db=ccm&AN=
concentration to center from June 60 participants each, 001) and - no screening of their
111110761&site=ehost-live
HCG on skin 1, 2014, to and 3 subgroups (no 3 (P = .001) isolates for CHG
surface to reduce September, 30, pause, 1-minute showers or resistance
bacterial counts post 2014 pause, or between the 1- and
operatively. - n= 120 2-minute pause 2-minute pauses.
before rinsing),
containing 20
participants each
Decease SSI rate by - single-center, patients analyzed; -in HCG = 20% - small sample size
⁴http://proxy.chamberlain.edu: using 4% HCG + prospective n=49 cleaned feet (9/46) -no quantitative analysis
8080/login?url=http://search. 70% alcohol to randomized trial with propyl (control) versus done on cx
ebscohost.com/login.aspx? reduce skin bacterial versus n=46 cleaned IPA = 35% (17/49) -positive cx swab and
direct=true&db=ccm&AN= loads prior to -n= 95 with isopropyl follow after skin closure clinical data not well
115146553&site=ehost-live foot/ankle surgery by HCG (P = .07) established
-heterogeneity of foot
and ankle sx and OR time
