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Shampoo after craniotomy: a pilot study.

Sandra Ireland1, Karen Carlino, Linda Gould

  • 1Hamilton Health Sciences, Hamilton General Hospital, ON. irelasan@hhsc.ca

Canadian Journal of Neuroscience Nursing
|April 30, 2008
PubMed
Summary
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Washing hair 72 hours after craniotomy does not increase incision infection or decrease health-related quality of life (HRQOL). This study provides evidence for safe postoperative patient hygienic care practices.

Area of Science:

  • Neurosurgery
  • Patient Care
  • Infection Control

Background:

  • Postoperative care after craniotomy requires specific guidelines for patient hygiene.
  • The impact of hair-washing on surgical site infections and patient well-being remains an area needing clarification.

Purpose of the Study:

  • To evaluate the effect of early postoperative hair-washing on incision infection rates.
  • To assess the influence of hair-washing on health-related quality of life (HRQOL) in craniotomy patients.
  • To inform evidence-based practices for neurosurgical patient hygiene.

Main Methods:

  • A prospective randomized cohort study involving 100 adult craniotomy patients.
  • Patients were assigned to either hair-washing at 72 hours postoperatively (n=48) or delayed washing until suture/clip removal (n=52).

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  • Incision infections were assessed using the ASEPSIS Scale, and HRQOL was measured with the SF-12 Health Survey at multiple time points.

    • Main Results:

    • No statistically significant differences were observed in ASEPSIS scores between the hair-washing and no-hair-washing groups at 5-10 days and 30 days postoperatively.
    • Health-related quality of life, as measured by SF-12 scores, also showed no significant difference between the groups at 5-10 days postoperatively.

    Conclusions:

    • Postoperative hair-washing at 72 hours after craniotomy is safe and does not lead to increased surgical site infections.
    • Early hair-washing does not negatively impact the health-related quality of life in patients recovering from craniotomy.
    • Findings support the integration of early hair-washing into standard postoperative care protocols for craniotomy patients.