ARTHROPLASTY
The use of 2% chlorhexidine gluconate-impregnated cloths in preop skin prep before TKA/THA
J Arthroplasty. 2016 Dec;31(12):2856-2861582 patients scheduled for primary or revision total knee arthroplasty or total hip arthroplasty were randomized to preoperative skin preparation the night before surgery with 2% chlorhexidine gluconate-impregnated cloths or a bath with standard antibacterial soap and water. Patients were assessed for deep periprosthetic infection occurring within the first 30-90 days after surgery. Overall, the incidence of deep periprosthetic infection was significantly lower among patients who used the 2% chlorhexidine gluconate-impregnated cloths. The largest difference in infection rate was noted in the subpopulation of revision total hip arthroplasty patients.
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