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Preoperative skin preparations

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  #1  
Old 21st June 2006, 02:53 AM
Clair Clair is offline
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Default Preoperative skin preparations

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I am doing some research on skin cleansing of feet preoperatively. I am interested in other people's views and experiences regarding this. For example does it help reduce infection rates?
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Old 21st June 2006, 03:31 PM
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What is your hypothesis/research question? How are you going to do this research project? OR are you asking this because you have an undergraduate essay on the topic (in which case Podiatry Arena is not here to help lazy students).
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Old 21st June 2006, 03:32 PM
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Related thread:
Evidence base of pre-op skin preparation
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Old 22nd June 2006, 07:10 AM
Clair Clair is offline
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Default Research

As you know I am a staff nurse not an undergraduate. I work on a busy orthopaedic ward and myself along with the sister and other staff nurses are looking into the preoperative cleansing of feet. I am interested in other peoples views regarding this. For example what do other professionals use for cleansing feet preopertively and if they felt it helped reduce infection rates. This is to be presented to the surgeons on our ward. Presently we use chlorohexidine and water, then the foot is wrapped in a sterile towel and their own slippers placed on their feet. Any views?
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Old 22nd June 2006, 12:15 PM
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OK ... sorry about that. We have had a run of students recently repeating an essay question here and wanting help with it.
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Old 22nd June 2006, 01:00 PM
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I thought you may have had problems, thanks for replying.
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Old 24th June 2006, 12:54 PM
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Hi Clair,

I use betadine on all my surgeries and to my mind I get a low rate of infection, although I dont have a placebo to guage against!


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Plod
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Old 24th June 2006, 12:57 PM
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Hi again Clair,

How can you get their foot AND a towel into the slipper?

Plod
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Old 24th June 2006, 01:42 PM
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Hi Plod, thanks for answering. Its only a small sterile paper towel, you know the kind you use with dressings. If we didn't use anything at all to clean feet pre surgery ( except soap and water if feet are dirty ) do you think rate of infection would increase. Why specifically do you use betadine over anything else i.e chlorohexidine
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Old 26th June 2006, 01:10 AM
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Clair - I am a Consultant Podiatric foot and Ankle Surgeon.
I normally ask the nurses of the ward to use a simple chlorhex and water wash for general foot cleaning.
In theatre I use betadine to prep and then wash with alcohol.
Cannot remember the paper but this was shown to be most effective for foot surgery rather than betadine alone.
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