MAC CLEANER REVIEWS 2015 UPDATE

These evaluated several different types of skin antiseptics - leading to 11 different comparisons being made.

There were no new studies added to the review in the third updateThirteen studies were included in this review (2,623 participants). There was no restriction on the inclusion of reports based on language of publication, date or publication status.Дata extraction and assessment of risk of bias were undertaken independently by two review authors. Randomised controlled trials evaluating the use of preoperative skin antiseptics applied immediately prior to incision in clean surgery.

MAC CLEANER REVIEWS 2015 UPDATE

To determine whether preoperative skin antisepsis immediately prior to surgical incision for clean surgery prevents SSI and to determine the comparative effectiveness of alternative antiseptics.ДЇor this third update we searched just the Cochrane Wounds Group Specialised Register (searched 27 January 2015) The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2014, Issue 12). The effectiveness of preoperative skin preparation is thought to be dependent on both the antiseptic used and the method of application, however, it is unclear whether preoperative skin antisepsis actually reduces postoperative wound infection, and, if so, which antiseptic is most effective. Antiseptics are thought to be toxic to bacteria and therefore aid their mechanical removal.

Preoperative skin antisepsis using antiseptics is performed to reduce the risk of SSIs by removing soil and transient organisms from the skin where a surgical incision will be made. Due to the large number of clean surgical procedures conducted annually the costs of these surgical site infections (SSIs) can be considerable in financial and social terms. Surgical site infection rates in the month following clean surgery vary from 0.6% (knee prosthesis) to 5% (limb amputation).

Mac cleaner reviews 2015