Preoperative skin asepsis in bovine surgery: an outcome-blinded 3-arm randomized clinical trial under non-sterile operating room conditions
2024

Preoperative Skin Asepsis in Bovine Surgery

Sample size: 126 publication 10 minutes Evidence: moderate

Author Information

Author(s): Emma Marchionatti, Caroline Constant, Adrian Steiner

Primary Institution: University of Bern, Bern, Switzerland

Hypothesis

Is octenidine more effective than chlorhexidine and povidone-iodine for preoperative skin asepsis in bovine surgery?

Conclusion

All antiseptic protocols effectively reduced bacterial colonization, confirming octenidine as a valuable option for preoperative skin asepsis in clean abdominal bovine surgery.

Supporting Evidence

  • All protocols significantly reduced bacterial counts.
  • Povidone-iodine exhibited lower immediate reduction factors compared to chlorhexidine and octenidine.
  • Seven of 118 patients developed surgical site infections, with no significant differences between groups.

Takeaway

This study tested different cleaning methods before surgery on cows to see which one worked best at keeping them from getting infections. All methods helped, but octenidine was a good choice.

Methodology

A single-center, prospective, randomized, outcome-blinded, 3-arm trial comparing octenidine, chlorhexidine, and povidone-iodine protocols in cattle undergoing clean standing flank laparotomy.

Potential Biases

Potential for performance or detection bias was minimized through blinding and adherence to the study protocol.

Limitations

The study was limited by sample size and conducted at a single center, which may affect generalizability.

Participant Demographics

Cattle aged 2 years or older, with a mix of breeds including Red Holstein, Holstein Fresian, and Swiss Fleckvieh.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fvets.2024.1446649

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