An audit of pre-operative skin preparative methods

Abstract

Introduction: A study into how pre-operative skin preparation varies between surgical units and surgeons.

Materials and methods: A postal audit of general, vascular and thoracic surgeons in Northern Ireland was conducted together with a literature review to establish best practice.

Results: Overall, 73 surgeons were contacted, and 63 (86.3%) responded. There was marked variation in shaving of the operative site. A wide range of solutions was used, and 14 different sequences were employed. All surgeons used a swab or sponge to apply the solutions. Several drying methods were employed.

Conclusions: There is variation in the method of skin preparation employed between surgical units and surgeons. There is limited evidence-based research on this topic. Recommendations are made as to best practice.