The Value of Home Chlorhexidine Pre-Surgical Wash Before Spine Surgery
Infection, Spinal Injuries
About this trial
This is an interventional prevention trial for Infection focused on measuring Infection Control, Preoperative Care, Chlorhexidine, Pre-Surgical Wash, Spine Surgery, Surgical site infections, Cutaneous bacterial load on skin
Eligibility Criteria
Inclusion Criteria:
- 18 years old or older
- Scheduled for elective spine surgery at Columbia University Medical Center
Exclusion Criteria:
- Unable to apply at-home chlorhexidine wipe by themselves
- Deemed "high risk" preoperatively by the treating surgeon
- Diagnosed with spine trauma
- Undergoing deformity correction surgery
- Unable to consent to the terms of the surgery
- Known infection at time of the index procedure
- Hospitalized within 1 week pre-operatively
- Allergic to chlorhexidine
- Immunocompromised
- End stage renal disease on dialysis
- Local or systemic skin disease (such as psoriasis, eczema, etc.)
- Open skin wounds
Sites / Locations
- Columbia University Irving Medical Center
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
At-Home Chlorhexidine
No At-Home Chlorhexidine
Those randomized into the chlorhexidine group will be asked to shower the night before surgery, and to use a standardized pre-packaged Chlorhexidine Wipes (chlorhexidine gluconate wipes) on their surgical site after thoroughly drying those areas. They will be asked to use a second wipe in each area the morning of surgery. Those who forget to use the wipe in the morning were allowed to use the wipe in the pre-operative area and included if this occurs more than one hour before skin prep.
Participants in this group will not use chlorhexidine wipes (no intervention), as is standard of care, prior to their surgical site being cleansed by the surgical team pre-operatively.