Skin antisepsis in invasive procedures

Med Intensiva (Engl Ed). 2019 Mar:43 Suppl 1:35-38. doi: 10.1016/j.medin.2018.09.006. Epub 2018 Nov 16.
[Article in English, Spanish]

Abstract

Skin antisepsis in invasive procedures aims to reduce the bacterial load at the site of incision or puncture. Alcohol solutions seem to be more effective in preventing surgical site infection. From the safety point of view there is the potential risk of ignition when using alcohol solutions. Given the potential neurotoxicity of alcohol and chlorhexidine gluconate, contact of antiseptic solutions with the central nervous system should be avoided. This article is part of a supplement entitled "Antisepsis in the critical patient", which is sponsored by Becton Dickinson.

Keywords: Antisepsia cutánea; Cuidados intensivos; Intensive care; Invasive procedures; Procedimientos invasivos; Skin antisepsis.

Publication types

  • Review

MeSH terms

  • Anesthesia, Spinal / adverse effects
  • Anesthesia, Spinal / methods
  • Anti-Infective Agents, Local
  • Antisepsis / methods*
  • Chlorhexidine / analogs & derivatives
  • Critical Care
  • Drainage / adverse effects
  • Drainage / methods
  • Ethanol
  • Humans
  • Preoperative Care / methods*
  • Skin / microbiology
  • Skin Care / methods*
  • Spinal Puncture / adverse effects
  • Spinal Puncture / methods
  • Surgical Wound Infection / prevention & control*
  • Tracheotomy / adverse effects
  • Tracheotomy / methods

Substances

  • Anti-Infective Agents, Local
  • Ethanol
  • chlorhexidine gluconate
  • Chlorhexidine