Effectiveness of 2% CHG cloth bathing for reducing surgical site infections

Abstract

We conducted a prospective cohort study on the effectiveness of preoperative bathing with chlorhexidine gluconate (CHG) cloths for reducing surgical site infections. We hypothesized that use of CHG cloths as an adjunct to surgical prep would significantly reduce the endogenous flora of surgical patients and therefore reduce surgical site infections. Data from a control group of patients who had undergone general, vascular, and orthopedic surgery were used for comparison. Results indicated an overall reduction of infection in the group that received a 2% CHG bath before surgery. There also was a possible reduction in postoperative organ space infection, although the sample numbers were extremely small. To reduce surgical site infections, we suggest a nursing protocol of preoperative bathing with a 2% CHG cloth for patients undergoing general and vascular surgery, and an additional trial to investigate the use of preoperative CHG cloth baths in all surgical patient populations.