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A potential method to lower risk for surgical site infection during cesarean birth.

Abstract
It's common practice to use a preparation containing chlorhexidine to prepare the surgical site before cesarean birth. We observed an interaction between ultrasound gel, used for electronic fetal heart monitoring before birth, and chlorhexidine. This interaction creates the potential for surgical site infection. Using isopropyl alcohol to thoroughly remove all gel before application of chlorhexidine was associated with reduced rates of postsurgical infection at our institution.
AuthorsLaura S Lucas, Frank R Witter
JournalNursing for women's health (Nurs Womens Health) Vol. 18 Issue 6 Pg. 515-7 (Dec 2014) ISSN: 1751-486X [Electronic] United States
PMID25495972 (Publication Type: Journal Article)
Copyright© 2014 AWHONN.
Chemical References
  • 2-Propanol
  • Chlorhexidine
Topics
  • 2-Propanol (therapeutic use)
  • Administration, Cutaneous
  • Cardiotocography (adverse effects, methods)
  • Cesarean Section (nursing, rehabilitation)
  • Chlorhexidine (therapeutic use)
  • Female
  • Heart Rate, Fetal
  • Humans
  • Pregnancy
  • Preoperative Care (methods, nursing)
  • Risk Reduction Behavior
  • Surgical Wound Infection (nursing, prevention & control)

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