Extensive pre-operative shaving: a costly exercise

Insights

Pre-operative shaving did not reduce clean operation wound infection rates. In fact, infection rates were lower when patients were not shaved, suggesting shaving offers no benefit for surgical site infection prevention.

Area of Science:

  • Surgical Infection Prevention
  • Patient Safety in Surgery

Background:

  • Pre-operative shaving is a common practice to prepare patients for surgery.
  • The impact of pre-operative shaving on surgical wound infection rates requires further investigation.

Purpose of the Study:

  • To evaluate the effect of pre-operative shaving on clean surgical wound infection rates.
  • To determine if routine pre-operative shaving provides any advantage in reducing post-operative infections.

Main Methods:

  • A comparative study analyzing wound infection rates in patients undergoing general surgery.
  • Infection rates were compared between periods with and without routine pre-operative shaving.
  • Matched patient groups under similar nursing conditions were used for comparison.

Main Results:

  • Clean wound infection rate was 2.9% with pre-operative shaving and 1.5% without shaving.
  • Infection rates for other surgeons' patients were 2.7% (with shaving) and 1.3% (without shaving).
  • Lower infection rates were observed when pre-operative shaving was not performed.

Conclusions:

  • Pre-operative shaving does not demonstrate an advantage in reducing clean operation wound infection rates.
  • The findings suggest that eliminating pre-operative shaving may be associated with lower infection rates.
  • Further research may be warranted to confirm these findings and refine pre-operative protocols.