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. 2015 Feb 20;2015(2):CD004985. doi: 10.1002/14651858.CD004985.pub5

Veiga 2009.

Methods RCT.
 Power calculation: no.
 Follow‐up period: 30 days.
Participants Adult patients, scheduled for plastic surgery at a University‐affiliated hospital in Brazil.
Exclusions: hypersensitivity to chlorhexidine, presence of skin lesions, antibiotic use at time of surgery, diabetes, heavy smoking, immunosuppression.
Interventions Group 1: shower with liquid‐based detergent containing 4% chlorhexidine;
 Group 2: shower with the same liquid‐based detergent, without chlorhexidine;
 Group 3: no preoperative showering instructions were given.
 Patients in Groups 1 and 2 were asked to rinse thoroughly, lather with the antiseptic, rinse, lather and rinse again.
Outcomes Primary outcome:
 Surgical site infection (defined using Centers for Disease Control criteria for wound infection and wound classification)
 Group 1: 1/50 (2%);
 Group 2: 1/50 (2%);
 Group 3: 0/50 (0%).
Secondary outcome:
 Adverse reactions: no adverse reactions were reported.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated.
Allocation concealment (selection bias) Unclear risk Not described.
Blinding (performance bias and detection bias) 
 Investigator and participant Low risk Surgeons and patients were all blinded to the allocation group.
Blinding (performance bias and detection bias) 
 Outcome assessor Low risk Outcome assessors and microbiologists were all blinded to the allocation group.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All patients were followed for the nominated 30 days.
Selective reporting (reporting bias) Low risk Expected outcomes were reported.
Other bias Low risk The placebo solution was provided by Rioquimica Industria Farmaceutica, the manufacturer of the intervention product. However, as results in different groups were similar, this is unlikely to have affected results.