Chlorhexidine Cuts Risk of Surgical Infections… a broader point #hcr #infection

The chemical antiseptic chlorhexidine does a better job than povidone-iodine in reducing the risk of surgical site infections, even in carriers of Staphylococcus aureus, according to two new randomized studies.

Researchers in the U.S. found that chlorhexidine and alcohol, used for preoperative skin cleansing, reduced infections by 41% compared with povidone-iodine.

And Dutch investigators found that screening and decolonizing patients who are nasal carriers of S. aureus, combined with washing with chlorhexidine soap, reduced the risk of infection by 58%

This study was recently published in the New England Journal of Medicine…. how long will it take for the medical community to alter its current pattern of iodine use? Data shows that it takes more than 15 years for mainstream changes in medicine to be occur. That’s a lot of infections…


About hjluks

A busy Academic Orthopedic Surgeon, Digital Strategist, Chief Medical Officer and father... intently and efficiently navigating the intersection of Social Media and Health Care.
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One Response to Chlorhexidine Cuts Risk of Surgical Infections… a broader point #hcr #infection

  1. Chukwuma Onyeije says:

    The optimist in me says that the process that leads to adoption of (evidence based) best practices will be accelerated by the proliferation of new media and outlets that bring unfiltered information to the public. Of course, this really works even better when patients are engaged and close the loop by asking physicians to comment or take a stand on these issues. In my field of obstetrics there is something of a ground swell with regard to recent large multi-center studies which question some of the fundamental dogma in modern obstetric practice. This questioning has been propagated to the average patient by some very bright bloggers and media commentators. I see (some) evidence that it is making a difference.Only time will tell what the long term impact will be.

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