🧼 Skin Cleaning

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• Surgical drain induced subgaleal hematomas and skin necrosis in pediatrics: a case report
• Osteoradionecrosis and microvascular free flap failure managed with negative pressure wound therapy: A case report
• Camel Bite Associated with Depressed Skull Fracture with Rapidly Spreading Subgaleal Cellulitis
• Toxic epidermal necrolysis syndrome induced by tigecycline: a case report
• Does Plastic Incise Drape Prevent Recolonization of Endogenous Skin Flora during Lumbar Spine Procedures?

Skin cleaning refers to the mechanical and/or chemical process of removing dirt, debris, sweat, sebum, and transient microorganisms from the skin before antiseptic application in surgical settings.

• Remove gross contamination
• Reduce microbial load
• Optimize effectiveness of antiseptic agents

1. Use mild soap and water or designated pre-op cleaning solution
2. Gently scrub the area using gauze or sterile sponge
3. Rinse thoroughly with sterile or clean water
4. Dry the area with sterile towels before applying antiseptic
5. Avoid aggressive rubbing to prevent microabrasions

• In cases of visible soiling
• When patient presents with excess sweat, ointments or blood
• Before antiseptic application in elective surgeries (especially in contaminated sites)

Skin cleaning is not a substitute for proper antiseptic application. It is a preparatory step to:

• Enhance penetration of antiseptics
• Reduce risk of surgical site infection

• Use chlorhexidine-based wipes in pre-op showers if recommended
• Document any pre-existing skin lesions or infections
• Educate patients on home hygiene before scheduled surgery

Preoperative Skin Antisepsis