The Effectiveness of Preoperative Bath with Chlorhexidine Gluconate for Prevention of Surgical Site Infection.
Solyman, A., Sabry, M., Elnadey, O., Saif Alnasr, I. (2025). The Effectiveness of Preoperative Bath with Chlorhexidine Gluconate for Prevention of Surgical Site Infection.. EKB Journal Management System, 29(5), 113-123. doi: 10.21608/egyfs.2025.457894
Ayman Elsayed Solyman; Mohamed Ismail Sabry; Omar Mohamed Zaher Elnadey; Ibrahim Ali Saif Alnasr. "The Effectiveness of Preoperative Bath with Chlorhexidine Gluconate for Prevention of Surgical Site Infection.". EKB Journal Management System, 29, 5, 2025, 113-123. doi: 10.21608/egyfs.2025.457894
Solyman, A., Sabry, M., Elnadey, O., Saif Alnasr, I. (2025). 'The Effectiveness of Preoperative Bath with Chlorhexidine Gluconate for Prevention of Surgical Site Infection.', EKB Journal Management System, 29(5), pp. 113-123. doi: 10.21608/egyfs.2025.457894
Solyman, A., Sabry, M., Elnadey, O., Saif Alnasr, I. The Effectiveness of Preoperative Bath with Chlorhexidine Gluconate for Prevention of Surgical Site Infection.. EKB Journal Management System, 2025; 29(5): 113-123. doi: 10.21608/egyfs.2025.457894

The Effectiveness of Preoperative Bath with Chlorhexidine Gluconate for Prevention of Surgical Site Infection.

The Egyptian Journal of Fertility and Sterility
Volume 29, Issue 5 - Serial Number 11106352, September 2025, Pages 113-123    PDF (277.76 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2025.457894
Authors
Ayman Elsayed Solyman1; Mohamed Ismail Sabry2; Omar Mohamed Zaher Elnadey* 3; Ibrahim Ali Saif Alnasr1
1Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Menofia University, Menofia, Egypt
2Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Menofia University, Menofia, Egypt.
3Department of Obstetrics and Gynecology, Faculty of Medicine, Menofia University, Menofia, Egypt
Abstract
Background and aim: Surgical site infection (SSI) is a post-surgical wound infection, common after cesarean section with  reported rates of 3-15%. Preoperative Ch-lorhexidine bath is a well accepted measure to  prevent  SSIs. However, the effectiveness of this approach remains uncertain.  Assessing the effectiveness of a 4% chlorhex-idine gluconate (CHG) bath before elective cesarean sec-tions in reducing SSI.   
Methods: A comparative and prospective trial was con-ducted on 180 pregnant women at term (37+0-41+6  wks. gestation), aged 18-45. All participants allocated into two groups: the interventional group (n=90), received preop-erative baths with 4% CHG, and the control group (n=90),  received preoperative usual baths. Data were coded and analyzed using SPSS v. 26.0 (IBM©, Armonk, NY, USA).   
Results: All patients completed the study, and maternal sociodemographic characteristics were similar in both groups. SSI occurred in 5.6% of the chlorhexidine group and 8.9% of the control group, with no significant differ-ences in outcomes. 
Conclusion: Preoperative bathing with 4% CHG prior to elective cesarean section did not reduce the rate of  SSIs.
Keywords
Chlorhexidine Gluconate; Elective Cesarean Sections; Surgical Site Infection; Antibiotics
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