Observation of surgical site disinfection with chlorhexidine reveals a failure to meet minimum contact time requirements in almost 30% of cases.

IF 1.8 2区农林科学 Q2 VETERINARY SCIENCES

Javma-journal of The American Veterinary Medical Association Pub Date : 2025-07-17 DOI:10.2460/javma.25.04.0226

Chris S Burrows, Eduardo Uquillas

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引用次数: 0

Abstract

Objective: To quantify compliance with chlorhexidine surgical site disinfection (SSD) contact time protocols across 5 veterinary hospitals.

Methods: A prospective observational study recorded chlorhexidine SSD contact times, defined as the interval between initial application and removal, in 201 SSD episodes across 5 hospitals. A single but different investigator collected data at each site, with staff blinded to the study's purpose to minimize bias.

Results: A total of 201 SSD episodes were recorded across 5 hospitals. The number of SSD episodes per hospital was 32, 65, 29, 62, and 13 for hospitals 1, 2, 3, 4, and 5, respectively. The overall compliance rate with the target 3- to 5-minute contact time was 70.15%, with significant interhospital variability (35.39% to 100%).

Conclusions: Significant variability in SSD protocol compliance exists among veterinary hospitals, with a substantial portion of episodes failing to meet minimum contact time requirements. Both insufficient and excessive contact times may increase the risk of surgical site infections. Further research is warranted to identify factors influencing noncompliance and develop strategies to improve adherence.

Clinical relevance: Improved awareness and further research on SSD protocol compliance are crucial for optimizing patient outcomes by reducing surgical site infection risk.

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用氯己定消毒手术部位的观察显示，近30%的病例未达到最低接触时间要求。

目的：量化5家兽医院对氯己定手术部位消毒（SSD）接触时间方案的依从性。方法：一项前瞻性观察研究记录了5家医院201例SSD患者的氯己定SSD接触时间，定义为初始应用和移除之间的间隔。每个地点由一个但不同的研究者收集数据，工作人员对研究目的不知情，以尽量减少偏见。结果：5家医院共记录201例SSD发作。每家医院的SSD发作次数分别为32次、65次、29次、62次，1、2、3、4和5号医院分别为13次。3 ~ 5分钟接触时间的总体符合率为70.15%，医院间差异显著（35.39% ~ 100%）。结论：各兽医院在SSD协议依从性方面存在显著差异，很大一部分事件未能达到最低接触时间要求。接触次数不足和过多都可能增加手术部位感染的风险。进一步的研究是必要的，以确定影响不依从性的因素和制定策略，以提高依从性。临床相关性：提高对SSD协议依从性的认识和进一步研究对于通过降低手术部位感染风险来优化患者预后至关重要。

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

Javma-journal of The American Veterinary Medical Association 农林科学-兽医学

CiteScore

1.60

自引率

15.80%

发文量

539

审稿时长

6-16 weeks

期刊介绍： Published twice monthly, this peer-reviewed, general scientific journal provides reports of clinical research, feature articles and regular columns of interest to veterinarians in private and public practice. The News and Classified Ad sections are posted online 10 days to two weeks before they are delivered in print.