Multiple studies have demonstrated the improved efficacy of surgical site preparation with chlorhexidine, compared to iodine containing scrubs.
While the idea behind applying adhesive drapes, especially those impregnated with iodophor, to the skin after surgical site preparation would seem to reduce infection rate, multiple studies have not proven this to be true.
Second, there are unmeasured events that may influence the rate of wound infections, such as prophylactic antibiotic use, intraoperative hyperglycemia, method of hair removal, and surgical site preparation
Wound healing in rainbow trout following surgical site preparation
with a povidone-iodine antiseptic.
Only those with a low bacterial load prior to surgical site preparation were included.
The main study outcome was actual bloodstream infection, and although this study is not particularly valid for assessing effectiveness as a surgical site preparation method, the results indicated that CHG had a significant effect on the incidence of methicillin resistant staphylococcus aureus (MRSA) related infections at central venous catheter sites.
She also laid emphasis on hand hygiene, taking care while removing hairs, surgical site preparations
, patient skin preparation, sterilization guidelines and recommendations are there but unfortunately they are not implemented.