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Effect of Antiseptic Agents on Skin Flora of the Perineum of Men with Spinal Cord Injury

Published online by Cambridge University Press:  02 January 2015

Donna S. Gilmore ,
John Z. Montgomerie ,
Irene E. Graham ,
Donald G. Schick  and
Enes M. Jimenez
Donna S. Gilmore
Affiliation:
University of Southern California School of Medicine, Los Angeles, California and the Department of Medicine, Rancho Los Amigos Hospital, Downey, California
John Z. Montgomerie*
Affiliation:
University of Southern California School of Medicine, Los Angeles, California and the Department of Medicine, Rancho Los Amigos Hospital, Downey, California
Irene E. Graham
Affiliation:
University of Southern California School of Medicine, Los Angeles, California and the Department of Medicine, Rancho Los Amigos Hospital, Downey, California
Donald G. Schick
Affiliation:
University of Southern California School of Medicine, Los Angeles, California and the Department of Medicine, Rancho Los Amigos Hospital, Downey, California
Enes M. Jimenez
Affiliation:
University of Southern California School of Medicine, Los Angeles, California and the Department of Medicine, Rancho Los Amigos Hospital, Downey, California
*
Rancho Los Amigos Hospital, 7601 East Imperial Highway, Downey, CA 90242
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Abstract

Male patients with spinal cord injury are frequently colonized with P. aeruginosa and K. pneumoniae on the perineum. Regular bathing with bar soap has not influenced this colonization. We have attempted to remove these bacteria using antiseptic agents. The number of P. aeruginosa, K. pneumoniae and total aerobic bacteria on the perineum and the penile shaft was determined before and after cleaning with bar soap, chlorhexidine, povidone-iodine and pHresh. Povidone-iodine and chlorhexidine had no advantage over bar soap or pHresh in the removal of P. aeruginosa or K. pneumoniae from the perineum of patients with spinal cord injury.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 5 , Issue 9 , September 1984 , pp. 431 - 434
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1984

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References

1.Gilmore, DS, Bruce, SK, Jimenez, EM, et al: Pseudomonas aeruginosa colonization in patients with spinal cord injuries. J Clin Microbiol 1982; 16:856–860.CrossRefGoogle ScholarPubMed
2.Gilmore, DS, Schick, DG, Montgomerie, JZ: Pseudomonas aeruginosa and Klebsiella pneumoniae on the perinea of males with spinal cord injuries. J Clin Microbiol 1982;16:865–867.CrossRefGoogle ScholarPubMed
3.Montgomerie, JZ, Morrow, JW: Pseudomonas colonization in patients with spinal cord injury. Am J Epidemiol 1978;108:326–336.CrossRefGoogle ScholarPubMed
4.Montgomerie, JZ, Morrow, JW: Long-term Pseudomonas colonization in spinal cord injury patients. Am J Epidemiol 1980;112:508–517.CrossRefGoogle ScholarPubMed
5.Gilmore, DS, Jimenez, EM, Aeilts, GD, et al: Effects of bathing on colonization of spinal cord injury patients with Pseudomonas and Klebsiella. J Clin Microbiol 1981;14:404–407.CrossRefGoogle ScholarPubMed
6.Aly, R, Maibach, HI: Effect of antimicrobial soap containing Chlorhexidine on the microbial flora of skin. Appl Environ Health 1976;31:931–935.CrossRefGoogle ScholarPubMed
7.Bodey, GP, Ebersole, R, Hong, HC: Randomized trial of hexachlorophene preparation and P-300 bacteriostatic soaps. J Invest Dermatol 1976;67:532–537.CrossRefGoogle ScholarPubMed
8.Brandberg, A, Andersson, I: Preoperative whole body disinfection by shower bath with Chlorhexidine soap: Effect on transmission of bacteria from skin flora, in Maibach, HI, Aly, R (ed): Skin Microbiology: Relevance to Clinical Infection. New York, Springer-Verlag, 1981, pp 92–97.CrossRefGoogle Scholar
9.Davies, J, Babb, JR, Ayliffe, GAJ: The effect on the skin flora of bathing with antiseptic solutions. J Antimicrob Chemother 1977;3:473–481.CrossRefGoogle ScholarPubMed
10.Lilly, HA, Lowbury, EJ: Disinfection of the skin: An assessment of some new preparations. Br Med J 1971;3:674–676.CrossRefGoogle ScholarPubMed
11.Nielsen, ML, Raahave, D, Stage, JG, et al: Anaerobic and aerobic skin bacteria before and after skin disinfection with Chlorhexidine: An experimental study in volunteers. J Clin Pathol 1975;28:793–797.CrossRefGoogle ScholarPubMed
12.Voss, JG: Effects of an antibacterial soap on the ecology of aerobic bacterial flora of human skin. Applied Microbiology 1975;30:551–556.CrossRefGoogle ScholarPubMed
13.Byatt, ME, Henderson, A: Pre-operative sterilization of the perineum: A comparison of six antiseptics. J Clin Pathol 1973;26:921–924.CrossRefGoogle Scholar
14.Bruce, SK, Schick, DG, Tanaka, L, et al: A selective medium for isolation of Klebsiella pneumoniae. J Clin Microbiol 1981;13:115–116.CrossRefGoogle ScholarPubMed
15.Rosebury, T: Microorganisms Indigenous to Man. New York, McGraw-Hill, 1962, pp 317–322.Google Scholar
16.Selwyn, S, Ellis, H: Skin bacteria and skin disinfection reconsidered. Br Med J 1971;1:136.CrossRefGoogle Scholar