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Chlorhexidine Bathing Has Limited Impact on Preventing Infection After Fracture Surgery

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Ace Report Cover
August 2025

Chlorhexidine Bathing Has Limited Impact on Preventing Infection After Fracture Surgery

Vol: 307| Issue: 8| Number:5| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Chlorhexidine Gluconate Bathing Has Limited Ability to Prevent Surgical Site Infection Following Operative Fixation of Extremity and Pelvic Fractures.

J Bone Joint Surg Am . 2025 Jun 18;107(Suppl 1):36-42.

Contributing Authors:
MC Willey JN Hebden LA Herwaldt GE Gaski S Kheiri LM O'Hara NN O'Hara S Sprague S Bzovsky MJ Gage GP Slobogean

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Synopsis

Ten thousand one hundred three patients with open or closed extremity or pelvic fractures were randomized as part of a cluster-randomized crossover trial to receive either a preoperative chlorhexidine gluconate (CHG) bath (n=2,674) or no CHG bath (n=7,429). The primary outcome of interest was surgical site infection (SSI) within 90 days of surgery. Secondary outcomes included SSI within 1 year, St...

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