Why the study?
Does razor shaving at the OT table reduce surgical site infections compared to shaving 24 hours prior to surgery in gastrointestinal emergency patients?
Does razor shaving at the OT table reduce surgical site infections compared to shaving 24 hours prior to surgery in gastrointestinal emergency patients?
Timing of preoperative shaving (at the OT table vs 24 hours prior) showed a small difference in surgical site infection rates among gastrointestinal emergency patients.
Shaving at the OT table does not meaningfully reduce infections versus earlier shaving; leaves open optimal preoperative hair removal timing in emergency GI surgery.
This Randomized Controlled Clinical Trial (RCT) was conducted among the indoor patients of general surgery wards in a tertiary level hospital in Bangladesh to assess the possible link between the surgical site infections among the gastrointestinal emergency patients of surgery through midline incisions and timing of preoperative shaving. Follow up of at least 30 days period after surgery was done in each patient and has been found that 31.7% patients in control group (received razor shaving 24 hrs prior to surgery) and 27.5% (received razor shaving at OT table) patients in experimental group has developed surgical site infections (SSIs) and the overall infection rate was found to be 29.6%. SSIs were found to be only 1.2 fold higher in case of the patients who received razor shaving at least 24 hour prior to surgery in contrast to the patients received razor shaving at OT table. Grade IIId (18.4% and 27.3% respectively) and grade IVb (21.1% and 21.2% respectively) were found to be the most common types of surgical site infections among the gastrointestinal emergency post-surgical patients.
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SM Hossain (2012) studied this question.
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