As a practitioner working for many years in the NHS I am interested to hear of any evidence based research on pre and post-op use of Chlorhexidine Gluconate 0.5% (Hydrex). My recent reading has led me to believe that the skin prep takes around 20 minutes to actually clear any skin flora and that in actual fact we are only moving the bacteria around. I also read that it has carcinogenic properties if inhaled too often - not a good thought after many years of using it in often poorly ventilated clinics (on patients feet I might add!). Some of my collegues have dispensed with this procedure and no longer pre-op prior to commencing treatment. Does anyone use anythingelse as a pre-op prep? Are we still covering ourselves as patients like to see the "antiseptic" used even if it doesn't rid the skin of bacteria? If it doesn't actually do much good then think of the financial saving to the NHS if nothing else.!
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