For this study, researchers determined the impact of 2 percent chlorhexidine gluconate for surgical skin preparation before low transverse cesarean sections and no-rinse CHG cloths for preoperative skin cleansing. The effectiveness of this intervention was observed during four phases from October 2005 to December 2008.
Over this time frame, 1,844 low transverse cesarean sections were performed, of which 99 resulted in surgical site infections. The researchers found SSI rates per 100 procedures were 6.27 at baseline and 10.84 during an outbreak period. However, these rates decreased to 5.92 in the first intervention period and again to 2.29 in the second intervention period. By the end of the study period, there was a 63.5 percent reduction in SSI rates from baseline.
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