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Korean J healthc assoc Infect Control Prev 2024; 29(1): 3-9

Published online June 30, 2024 https://doi.org/10.14192/kjicp.2024.29.1.3

Copyright © Korean Society for Healthcare-associated infection Control and Prevention

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Antiseptics for Preventing Surgical Site Infections

Jin Seo Lee

Department of Internal Medicine, Division of Infectious Disease, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea

Correspondence to: Jin Seo Lee
E-mail: rem324@naver.com
ORCID: https://orcid.org/0000-0003-3913-6370

Received: November 7, 2023; Revised: December 7, 2023; Accepted: December 20, 2023

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0).

Abstract

Surgical-site infections (SSIs) are the most common healthcare-associated infections in patients undergoing surgery. Surgical site preparation to prevent SSI is aimed at reducing the number of microorganisms introduced into the operative sites. Antiseptics are used to remove transient bacteria and reduce the number of commensal organisms present on the skin. The most commonly used agents are chlorhexidine, povidone-iodine, and alcohol. All of these agents have broad-spectrum activity against various pathogens. Although each agent has its advantages and disadvantages, alcohol-based antiseptic solutions containing chlorhexidine are recommended in the available guidelines. Further well-designed studies are required to identify the best antiseptics for SSI prevention.

Keywords: Surgical wound infection, Chlorhexidine, Povidone-iodine, Alcohols

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