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1 Effects of Chlorhexidine Gluconate Versus Povidone-Iodine in the Reduction of Surgical Site Infections Krystal Shook Walden University NURS 6052, Section N-56, Essentials of Evidence-Based Practice February 2nd, 2019
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2 Summary Surgical site infections (SSI) can have devastating outcomes on patients, as well as healthcare staff and facilities. The implications of SSI’s on patients can start with a prolonged hospital stay and end with death. Implications for staff and facility, range from bad hospital reviews and malpractices lawsuits, to denial of payment from Medicare and Medicaid. All of the negatives can be avoided by implementing evidence-based practice. By identifying a researchable problem and formulating background questions, a PICOT question was developed. The PICOT question identified for this paper is: In surgical patients what is the effect of povidone-iodine versus chlorhexidine gluconate in the reduction of surgical site infections by waiting the allotted timeframe for the prep agent to dry? Keywords were identified and used to conduct a research review. A literature review using the hierarchy of evidence pyramid was conducted, and five articles based on the effects of chlorhexidine gluconate and povidone-iodine in the reduction of SSI’s proved the use of chlorhexidine gluconate rated higher in the reduction of SSI’s over the use of povidone-iodine. Disseminating the evidence found is the initial step towards creating awareness of the importance to adopt evidence-based practice within my facility. By providing the evidence to my fellow associates, related to the positive outcomes with the use of chlorhexidine gluconate, I can not only help them with their part in the reduction of SSI’s, but in turn help the facility. With the evidence I found, as well as the support of my fellow nurses, I can then make a proposal to my facility to implement a policy for the use of chlorhexidine gluconate on all surgical patients, with the exception of those patients allergic or undergoing a surgical procedure where chlorhexidine gluconate can’t be used. In turn, this helps the facility by ensuring quality healthcare outcomes for our patients.
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3 Effects of Chlorhexidine Gluconate Versus Povidone-Iodine in the Reduction of Surgical Site Infections Hand washing may be the first line of defense in infection control, but in surgery, the second line is the surgical preparation solution used before incision. There are many different types of surgical preparation agents on the market, but two remain the main ingredients in all solutions. The soultions are chlorhexidine gluconate and povidone-iodine. Many research articles study the difference between the two, as well as provide an outcome to which solutions provides better infection rate control. However, a facility needs to physically see the evidence-based practice statistics and understand the information, to make a change.
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  • Winter '17
  • Donna Hathorn
  • Randomized controlled trial, Evidence-based medicine, Antiseptic, chlorhexidine gluconate

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