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The purposes of this study are to identify the common bacterial flora on the hand and evaluate the efficacy of readily available skin-preparation solutions in the elimination of bacterial pathogens from the surgical site following skin preparation. The null hypothesis is that there is no difference in the efficacy of Chloraprep, Duraprep, and betadine in pre-operative skin preparation in clean, elective hand surgery cases.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chloraprep |
| ||
| Duraprep |
| ||
| Betadine only |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Skin culture | Other | Culture swab used to culture skin adjacent to incision |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of positive cultures | after skin prep solution has dried |
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Inclusion Criteria:
Exclusion Criteria:
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All patients undergoing clean, elective hand surgery without implants
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| Name | Affiliation | Role |
|---|---|---|
| John Fowler, MD | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Montefiore Hospital | Pittsburgh | Pennsylvania | 15213 | United States | ||
| University of Pittsburgh Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22437997 | Background | Savage JW, Weatherford BM, Sugrue PA, Nolden MT, Liu JC, Song JK, Haak MH. Efficacy of surgical preparation solutions in lumbar spine surgery. J Bone Joint Surg Am. 2012 Mar 21;94(6):490-4. doi: 10.2106/JBJS.K.00471. | |
| 19651954 | Background | Saltzman MD, Nuber GW, Gryzlo SM, Marecek GS, Koh JL. Efficacy of surgical preparation solutions in shoulder surgery. J Bone Joint Surg Am. 2009 Aug;91(8):1949-53. doi: 10.2106/JBJS.H.00768. |
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| Pittsburgh |
| Pennsylvania |
| 15213 |
| United States |
| 15866959 | Background | Ostrander RV, Botte MJ, Brage ME. Efficacy of surgical preparation solutions in foot and ankle surgery. J Bone Joint Surg Am. 2005 May;87(5):980-5. doi: 10.2106/JBJS.D.01977. |