The Preparation of the Surgical Site and the Disinfection of the Surgeon's Hands - Standards and their Implementation in a Field Setting

Marchionatti, Emma (7 July 2022). The Preparation of the Surgical Site and the Disinfection of the Surgeon's Hands - Standards and their Implementation in a Field Setting (Unpublished). In: 11. Leipziger Tierärztkongress. Leipzig. 7. bis 10. Juli 2022.

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The economic and welfare impact of surgical site infections in bovine surgery should be considered and all measures of prevention applied. Bovine surgery most of the time implies a patient with high level of organic contamination, conscious and standing in a contaminated surgical theatre. All the more reason to commit to aseptic skin preparation. Time and economic considerations are often dictating the protocol and antiseptic products chosen when working in a field setting. Presently, no antiseptic or antiseptic protocol has been shown significantly better at reducing SSI rates in bovine surgery. The World Health Organization and the Centers for Disease Control and Prevention recommend the use of alcohol-based hand rubs for surgical preparation in human surgery. Despite most veterinary surgeons continue to use antiseptic soap scrubs, more studies on alcohol-based hand rubs use in veterinary surgery have appeared in the last decade showing similar efficacy. Nonetheless, not all alcohol-based products available on the market have been studied in veterinary surgery. When in a field setting, reduced preparation time, cost and water usage may be advantageous.

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