Use of 2% Chlorhexidine Cloths Reduce Surgical Site Infections

Not Applicable

Completed

Interventions: Drug: 2% Chlorohexidine Gluconate Standard of Care
Drug: 2% Chlorohexidine Gluconate Chin to Toe

Brief Summary: Use of 2% chlorhexidine gluconate cloths pre-operatively and daily post-operatively jaw line to toes will decrease surgical site infections (SSI) by 30% when compared to patients who receive routine standard of care (use of chlorhexidine cloths night before surgery and morning of surgery).

Detailed Description: Patients undergoing colorectal surgery will be randomized in a 1:1 fashion into two groups. One will be standard of care using 2% Chlorhexidine Gluconate wipes night before surgery and morning if surgery. The second group will be randomized into the study arm using 2% Chlorhexidine Gluconate clothes from jaw line to toes night before surgery, morning of surgery and daily post operative. Skin cultures will be obtained at time of consent, prior to surgical procedure before surgical scrub and draping, post operative day 4 and at 30 day follow up visit. Incision lines will be assessed daily by study staff for signs of surgical site infection utilizing the CDC's 3 definitions of surgical site infections, superficial incisional SSI, deep incisional SSI, and organ space SSI.

Recruitment & Eligibility

Inclusion Criteria

1. Patients > 18 years old scheduled for a colorectal surgical procedure ASA>2 OR pre-operatively hospitalized

Exclusion Criteria

Unable to consent
Known allergy to any of the ingredients contained in SAGE chlorhexidine gluconate cloths
Current infection or history of abdominal infections.
Patients on chronic steroids or immunosuppressive medications.

Arm && Interventions

Group	Intervention	Description
Standard of Care	2% Chlorohexidine Gluconate Standard of Care	Patients will perform the current standard of care treatment using 2% Chlorohexidine Gluconate Cloths on the abdomen and buttocks prior to colorectal surgery night before surgery and morning of surgery
Treatment Arm	2% Chlorohexidine Gluconate Chin to Toe	Patients will perform treatment with 2% Chlorohexidine Gluconate cloths chin to toe night before and morning of surgery then daily post operative until post op day 4 or discharge

Primary Outcome Measures

Name	Time	Method
Incidence of Surgical Site Infections	30 days	Number of participants who had surgical site infection development at 30 day post operative visit based on Center for Disease Control Criteria for Defining A Surgical Site Infection (SSI), 2011.

Secondary Outcome Measures