Journals / Turkish Journal of Veterinary and Animal Sciences / 2022 / Cilt: 46 - Sayı: 3

Topical formulations based on polyhexamethylene hydrochloride guanidine for surgical field antisepsis

Pages
411–419
Publication Date
2022-11-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It is concluded that the topical products tested were harmless to the skin surface; PHMGH can be a preventive and less expensive option in skin antisepsis and that the association between PHMGH and alcoholic chlorhexidine was more effective in microbiological control when compared to the isolated products tested, however, more research will be essential to investigate the potentiation of these, as well as the performance of PHMGH in the presence of body fluids.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:As surgical site infection can prolong the patient’s hospital stay, increase morbidity and mortality rates and medical and hospital expenses, justifying the search for new effective and low-cost antiseptic drugs is justifiable.
📊
Key Findings & Data:Thus, the objective of the present study was to analyze, by direct clinical and microbiological examination, the topical antiseptic effect of a solution based on polyhexamethylene hydrochloride guanidine (PHMGH) at 0.5% on the intact skin surface of sheep and cats, aiming at its use in operative field (previous and definitive antisepsis), compared to 0.5% alcoholic chlorhexidine and association with this.
💡
Conclusion & Impact:It is concluded that the topical products tested were harmless to the skin surface; PHMGH can be a preventive and less expensive option in skin antisepsis and that the association between PHMGH and alcoholic chlorhexidine was more effective in microbiological control when compared to the isolated products tested, however, more research will be essential to investigate the potentiation of these, as well as the performance of PHMGH in the presence of body fluids.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

As surgical site infection can prolong the patient’s hospital stay, increase morbidity and mortality rates and medical and hospital expenses, justifying the search for new effective and low-cost antiseptic drugs is justifiable. Thus, the objective of the present study was to analyze, by direct clinical and microbiological examination, the topical antiseptic effect of a solution based on polyhexamethylene hydrochloride guanidine (PHMGH) at 0.5% on the intact skin surface of sheep and cats, aiming at its use in operative field (previous and definitive antisepsis), compared to 0.5% alcoholic chlorhexidine and association with this. The topical solutions did not cause any skin damage, regardless of species. The PHMGH demonstrated an antiseptic effect equivalent to chlorhexidine, however, the association between PHMGH and alcoholic chlorhexidine was more effective compared to isolated products. It is concluded that the topical products tested were harmless to the skin surface; PHMGH can be a preventive and less expensive option in skin antisepsis and that the association between PHMGH and alcoholic chlorhexidine was more effective in microbiological control when compared to the isolated products tested, however, more research will be essential to investigate the potentiation of these, as well as the performance of PHMGH in the presence of body fluids.

🔖

Cite This Article

PEREIRA, L. D. F., DIAS, F. G. G., PARREIRA, R. L. T., VENEZIANI, R. C. S., AMBRÓSIO, M. A. L. V., ALMEIDA, V. T. D. S., BARROS, R. A. D., AMBRÓSIO, S. R., DIAS, L. G. G. G. (2022). Topical formulations based on polyhexamethylene hydrochloride guanidine for surgical field antisepsis. Turkish Journal of Veterinary and Animal Sciences, Cilt: 46 - Sayı: 3, 411–419. https://ajindex.com/articles/614495

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Privitera GP, Costa AL, Brusaferro S, Chirletti P, Crosasso P et al. Skin antisepsis with chlorhexidine versus iodine for the prevention of surgical site infection: a systematic review and meta-analysis. American Journal of Infection Control 2017
  2. 45 (2): 180-189. doi: 10.1016/j.ajic.2016.09.017 2. Zhang D, Wang XC,Yang ZX, Gan JX, Pan JB et al. Preoperative chlorhexidine versus povidone-iodine antisepsis for preventing surgical site infection: a meta-analysis and trial sequential analysis of randomized controlled trials. Revista Internacional de Cirurgia 2017
  3. 44 (1): 176-184. doi: 10.1016/j. ijsu.2017.06.001 3. Spaziani E, Di Filippo A, Orelli S, Fiorini F, Spaziani M et al. Pre-operative skin antisepsis with chlorhexidine gluconate and povidone-iodine to prevent port-site infection in laparoscopic cholecystectomy: a prospective study. Surgical Infections 2018
  4. 19 (3): 334-338. doi: 10.1089/sur.2017.269 4. Abbas S, Sastry S. Chlorhexidine: patient bathing and infection prevention. Current Infectious Disease Reports 2016
  5. 18 (25): 1-5. doi: 10.1007/s11908-016-0532-y 5. Cangussú IM, Vasconcelos TYL, Medeiros DPF, Mesquita RJM, Marques FVBS et al. Desenvolvimento de formulações contendo diferentes concentrações de digluconato de clorexidina e avaliação da estabilidade preliminar das formulações. Acta Farmacêutica Portuguesa 2015
  6. 4 (2): 134-140 (Development of formulations containing different concentrations chlorhexidine digluconate and preliminary evaluation os stability of formulations). 6. Rodrigues AL, Simões MLPB. Incidence of surgical site infection with pre-operative skin preparation using 10% polyvidone-iodine and 0.5% chlorhexidine-alcohol. Revista do Colégio Brasileiro de Cirurgia 2013
  7. 40 (6): 443-448. 7. Mathurin YK, Koffi-Nevry R, Guéhi ST, Tano K, Oulé MK. Antimicrobial activities of polyhexamethylene hydrochloride guanidine- based disinfectant against fungi isolated from Cocoa Beans and reference strains of bacteria. Journal of Food Protection 2012
  8. 75 (6): 1167-1171. doi: 10.4315/0362-028X. JFP-11-361 8. Brill FHH, Gabriel H. Is polyhexamethylene-guanidine hydrochloride (PHMGH) sporicidal? A critical review. Journal of Medical Microbiology 2015
  9. 1 (1): 307-308. doi: 10.1099/ jmm.0.000017 9. Zhou Z, Zheng A, Zhong J. Interactions of biocidal guanidine hydrochloride polymer analogs with model membranes: a comparative biophysical study. Acta Biochimica et Biophysica Sinica 2011
  10. 43 (9): 729-737. doi: 10.1093/abbs/gmr067 10. Pan Y, Xia Q, Xi