Surgical Site Infection and the Operating Room Checklist - Safer ...

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Current Approaches: Prevention of SSIs Multiple studies have shown that CHG and CHG/alcohol solutions display these important properties: •CHG plus 70% isopropyl alcohol (IPA) has demonstrated efficacy against a wide range of bacteria, including P. aeruginosa, S. aureus, and antibiotic-resistant bacteria. •CHG/IPA exhibits a rapid onset of action, persists for up to 24 hours, and has increased efficacy with repeated applications. •Chlorhexidine is not inactivated in the presence of blood, which neutralizes the effects of iodine and PCMX and dilutes the effects of alcohol. Florman et al. Current Approaches for the Prevention of SSIs. Am J Infect Dis. 3(1):51-61, 2007.
Safety • CHG 2%/70% IPA solution is flammable • CHG-alcohol skin prep solution should not be used around eyes, ears, and mouth, or come in direct contact with neural tissue
Page 1 and 2: PREVENTION OF SURGICAL SITE INFECTI
Page 3 and 4: Prophylactic Antibiotics
Page 5 and 6: Duration Concerns • There is a la
Page 7 and 8: Prophylaxis Dosing • Consider the
Page 9 and 10: SHN! Recommendation • Based on th
Page 11 and 12: Hair Removal
Page 13 and 14: Change Ideas • Develop a letter f
Page 15 and 16: Consequences of Mild Hypothermia
Page 17 and 18: Change Ideas • Pre operative warm
Page 19 and 20: Recent Research • Strict t vs. co
Page 21 and 22: Change Ideas • Pre-op blood sugar
Page 23: The Ideal Skin Antimicrobial • Th
Page 27 and 28: SHN! Recommendation 1 • To maximi

Surgical Site Infection and the Operating Room Checklist - Safer ...

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