Assessment of the Results and Complications of the Chlorhexidine- Alcohol in Non-Emergency Abdominal Surgery

During surgery, the first and most important part of the body defense, skin barrier broked. Microorganisms can be located easily into the tissues and internal organs. Due to the limited studies in comparing the results and complications of surgical disinfection with or without chlorhexidine-alcohol spray in non-emergency abdominal surgery, this study was conducted.
The patients that undergoing elective abdominal surgery in baqiyatallah hospital (including cholecystectomy, gastrectomy, resection of the small intestine and colectomy) after obtaining informed consent, were recruited into the project. Prior to surgery, chlorhexidine was used as a spray in a cutting site. After the surgery was completed in the abdomen and before the skin was closed, an incision was taken from the edge of the surgical cutting edge with a swab for culture. Samples were transferred to the laboratory and bacterial mass count (Kant's colony) was performed. For the mean quantitative variables, standard deviation was calculated and for qualitative variables, number and percentage were reported. The data were analyzed using SPSS 20 software.
A total of 97 people were disinfected and evaluated. Of the total number, 5 (5.1%) of the cases were developed infection and 5 (5.1%) had a mass of staphylococcus epidermidis.
Due to the low number of infections and the ease of use and rapid disinfection of the site of operation by chlorhexidine, the using of this method in abdominal surgery is recommended.