The Effectiveness of Preoperative Bath with Chlorhexidine Gluconate for Prevention of Surgical Site Infection.

Document Type : Original Article

Authors

1 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Menofia University, Menofia, Egypt

2 Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Menofia University, Menofia, Egypt.

3 Department of Obstetrics and Gynecology, Faculty of Medicine, Menofia University, Menofia, Egypt

Abstract

Background and aim: Surgical site infection (SSI) is a post-surgical wound infection, common after cesarean section with  reported rates of 3-15%. Preoperative Ch-lorhexidine bath is a well accepted measure to  prevent  SSIs. However, the effectiveness of this approach remains uncertain.  Assessing the effectiveness of a 4% chlorhex-idine gluconate (CHG) bath before elective cesarean sec-tions in reducing SSI.   
Methods: A comparative and prospective trial was con-ducted on 180 pregnant women at term (37+0-41+6  wks. gestation), aged 18-45. All participants allocated into two groups: the interventional group (n=90), received preop-erative baths with 4% CHG, and the control group (n=90),  received preoperative usual baths. Data were coded and analyzed using SPSS v. 26.0 (IBM©, Armonk, NY, USA).   
Results: All patients completed the study, and maternal sociodemographic characteristics were similar in both groups. SSI occurred in 5.6% of the chlorhexidine group and 8.9% of the control group, with no significant differ-ences in outcomes. 
Conclusion: Preoperative bathing with 4% CHG prior to elective cesarean section did not reduce the rate of  SSIs.

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