This is an automatically translated article.
Article written by Doctor Le Thi Thanh Thuy - Infection Control Doctor, Vinmec Times City International Hospital
Preoperative bathing and cleaning are important to prevent surgical site infection. Preoperative bathing is considered good clinical practice to clean the body prior to surgery, reducing bacterial counts on the skin, especially at the surgical site.
Microorganisms on the patient (endogenous) are the main source of pathogens causing surgical site infections, including resident microorganisms present on the patient's body. These microorganisms usually reside in the cells of the epidermis of the skin, mucous membranes or in the hollow cavities/organs of the body such as: oral cavity, gastrointestinal tract, urinary-genital tract, etc.
Experts recommend using antibacterial soap (usually CHG 4% or Povidine 4% combined with detergent) for preoperative bathing. Although it is not possible to remove all microorganisms and disinfect the skin, preoperative bathing reduces the risk of surgical site infection by removing dead cells and microorganisms from the skin, reducing the number of microorganisms. colonization of the body and inhibit the growth of invasive bacteria, especially on the surgical site. If surgery is scheduled in advance, it is best to shower with antibacterial soap the night before surgery and on the day of surgery.
For surgical interventions in the genital and urological areas such as lower hysterectomy, retrograde laparoscopic lithotripsy, etc., it is necessary to thoroughly clean the private area and also the upper inner surface of the thighs.
For nose and throat surgery, the patient may not need to take a shower before surgery, but should drop the nose and gargle with physiological saline right before the surgery. After bathing, it is recommended to change into clean clothes and do not apply any cosmetics on the body.
>>> Prophylaxis of surgical site infection
Instructions for bathing before surgery Patients should bathe with antibacterial soap prescribed by the doctor/nurse, at least 2 times: the evening before the surgery and before the surgery. surgery.
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