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- Title
EP188 A SYSTEMATIC REVIEW AND META-ANALYSIS ON THE IMPACT OF PREOPERATIVE HAIR REMOVAL ON THE INCIDENCE OF SURGICAL SITE INFECTIONS IN ADULT NEUROSURGICAL PATIENTS IN AN ACUTE SETTING.
- Authors
Mathew, Annamma; Budri, Aglécia; Moore, Zena; Patton, Declan; O'Connor, Tom; Nugent, Linda; Avsar, Pinar
- Abstract
Aim: This systematic review aimed impact of preoperative hair removal on the incidence of surgical site infection (SSI) among neurosurgical patients in the acute setting. Method: The link between hair removal and SSI is still debated in the literature and clinical practice. Hair is often considered as unclean and hence surgeons insist on the removal of hair preoperatively to prevent infection. Hair shaving is a practice that is more of a tradition than a preoperative preparation. Results / Discussion: Of 348 potential studies identified, 7 met the inclusion criteria. A meta-analysis of the primary outcome found a statistically significant difference between hair removal and the non-hair removal (SSI incidence intervention group 4.2%, 84/1983; SSI incidence control group 2.7% 53/1920; p= 0.02). The group that did not have the hair removed were around 1.5 times less likely to develop SSI compared to those that had the hair removed with various techniques (OR= 1.55; 95% CI: 1.09, 2.20). Conclusion: The meta-analysis presents some evidence that unshaved patients were at a lower risk of developing SSI. However, according to the quality appraisal, some studies were deemed invalid, and there was considerable variation among the interventions used in the included studies. This review highlights the need for more robust studies comparing different interventions to identify which would be the best evidence-based practice around hair removal techniques (including non-hair removal) prior to neurological procedures.
- Subjects
IRELAND; ITALY; PREOPERATIVE care; META-analysis; NEUROSURGERY; SYSTEMATIC reviews; CONFERENCES &; conventions; HAIR removal; SURGICAL site infections
- Publication
Journal of Wound Management, 2023, Vol 24, Issue 2, p134
- ISSN
2788-5771
- Publication type
Article