Effect of preoperative hair removal vs. no removal on surgical site infections: a systematic review and meta-analysis.

Q2 Pharmacology, Toxicology and Pharmaceutics

F1000Research Pub Date : 2024-12-05 eCollection Date: 2024-01-01 DOI:10.12688/f1000research.158369.1

Abdulsalam Aleid, Saud Nayef Aldanyowi, Abdulmajeed Aljabr, Hasan Ali Abdullah Alaidarous, Zainab Aleid, Abdulaziz Alharthi, Mutlaq Alsubaie, Lama AlOraini, Abdulrahman Almoslem, Abbas Al Mutair

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引用次数: 0

Abstract

Background: The practice of preoperative hair removal has been debated regarding its role in Surgical Site Infection (SSI) prevention. This study aimed to compare the different hair removing modalities and investigate the effect of preoperative hair removal on SSI rates.

Methods: A systematic review and meta-analysis were conducted according to PRISMA guidelines. Three databases-PubMed, Web of Science, and Cochrane Library-were searched for relevant studies comparing preoperative hair removal to no hair removal. Studies eligible for inclusion were randomized controlled trials (RCTs) and cohort studies reporting SSI rates. Odds ratios, mean differences, and p-values were analyzed using a random effect model.

Results: Seventeen studies involving 5,407 patients were included. No statistically significant difference in SSI rates was found between the hair removal and no removal groups (OR = 1.066, 95% CI 0.646-1.758, p = 0.803). When comparing clipping to no hair removal, there was no significant difference (OR = 0.967, 95% CI 0.642-1.455, p = 0.870). Razor shaving was associated with higher skin damage and slightly increased SSI risk compared to clipping but not statistically significant (OR = 0.749, 95% CI 0.346-1.623, p = 0.464). Depilatory creams, however, were favored over razor shaving (OR = 3.235, 95% CI 1.543-6.785, p = 0.002), as they were linked to less skin damage and easier application.

Conclusion: Preoperative hair removal does not significantly impact SSI rates. Clipping appears to be a safer alternative to shaving, while depilatory creams show promise as an effective, less damaging option.

查看原文本刊更多论文

术前脱毛与不脱毛对手术部位感染的影响：一项系统回顾和荟萃分析。

背景：术前脱毛在手术部位感染（SSI）预防中的作用一直存在争议。本研究旨在比较不同的脱毛方式，并探讨术前脱毛对SSI发生率的影响。方法：根据PRISMA指南进行系统评价和荟萃分析。三个数据库- pubmed， Web of Science和Cochrane library -被检索了术前脱毛和未脱毛的相关研究。符合纳入条件的研究是报告SSI发生率的随机对照试验（RCTs）和队列研究。优势比、平均差异和p值采用随机效应模型进行分析。结果：纳入17项研究，5407例患者。脱毛组和未脱毛组的SSI发生率无统计学差异（OR = 1.066, 95% CI 0.646-1.758, p = 0.803）。剪发与不脱毛比较，差异无统计学意义（OR = 0.967, 95% CI 0.642-1.455, p = 0.870）。与修剪相比，剃刀剃须与更高的皮肤损伤和略增加的SSI风险相关，但没有统计学意义（OR = 0.749, 95% CI 0.346-1.623, p = 0.464）。然而，脱毛膏比剃刀剃须更受欢迎（OR = 3.235, 95% CI 1.543-6.785, p = 0.002），因为它们与皮肤损伤较小和更容易使用有关。结论：术前脱毛对SSI发生率无显著影响。剪毛似乎是一种比剃须更安全的选择，而脱毛膏则是一种有效的、伤害更小的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

F1000Research Pharmacology, Toxicology and Pharmaceutics-Pharmacology, Toxicology and Pharmaceutics (all)

CiteScore

5.00

自引率

0.00%

发文量

1646

审稿时长

1 weeks

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