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The effect of preoperative skin preparation on bacterial growth during cardiac surgery

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Örebro Studies in Care Sciences 50 I

ÖREBRO 2013 2013

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karin falk-brynhildsen is a registered nurse who is specialized in OR care. Karin works as an OR nurse in the Department of Cardio Thoracic and Vascular Surgery at Örebro University Hospital. In 2008 she completed her Master of Science and since 2010 she has been registered as a doctoral student at the School of Health and Medical Sciences at Örebro University. Professor Ulrica Nilsson is her main research supervisor.

Wound contamination can be reduced thorough preoperative skin prepara-tion to decrease the amount of bacteria on the patient’s skin. The overall aim of this thesis was to investigate the effect of different preoperative skin preparations applied to patients prior to cardiac surgery, including 0.5% chlorhexidine solution in alcohol, plastic adhesive drape, and microbial skin sealant. Bacterial samples focused on measuring time to re-colonization were taken during interventions, and the most frequent bacterial species present intraoperatively were CoNS and P.acnes. Knowledge has been lacking in this surgical area, so hopefully, the findings of this research can contribute to evidence-based guidelines for preoperative skin preparation, and thereby increase patient safety by decreasing the risk of surgical site infection.

Gör som havet – våga!

issn 1652-1153 isbn 978-91-7668-978-3

The effect of preoperative skin

preparation on bacterial growth

during cardiac surgery

Karin FalK-Brynhildsen

Medical Science with a specialisation in Healthcare Sciences

doctoral dissertation

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References

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