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]
Affiliation
- 1 Servei de Medicina Intensiva, Hospital Universitari Vall d'Hebron, Barcelona, España. Electronic address: fxnuvials@vhebron.net.
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.
Copyright © 2018 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.
MeSH terms
-
Anesthesia, Spinal / adverse effects
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Anesthesia, Spinal / methods
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Anti-Infective Agents, Local
-
Antisepsis / methods*
-
Chlorhexidine / analogs & derivatives
-
Critical Care
-
Drainage / adverse effects
-
Drainage / methods
-
Ethanol
-
Humans
-
Preoperative Care / methods*
-
Skin / microbiology
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Skin Care / methods*
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Spinal Puncture / adverse effects
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Spinal Puncture / methods
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Surgical Wound Infection / prevention & control*
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Tracheotomy / adverse effects
-
Tracheotomy / methods
Substances
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Anti-Infective Agents, Local
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Ethanol
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chlorhexidine gluconate
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Chlorhexidine