Is skin disinfection with 10% povidone iodine sufficient to prevent epidural needle and catheter contamination?

Autor:	Yentur EA; Celal Bayar University, School of Medicine, Manisa, Turkey. Ayentur@yahoo.com, Luleci N, Topcu I, Degerli K, Surucuoglu S
Jazyk:	angličtina
Zdroj:	Regional anesthesia and pain medicine [Reg Anesth Pain Med] 2003 Sep-Oct; Vol. 28 (5), pp. 389-93.
DOI:	10.1016/j.rapm.2003.08.002
Abstrakt:	Background and Objectives: Epidural space infection is a potential complication of epidural catheter placement. In this study, we investigated the incidence of epidural needle and catheter contamination after skin surface disinfection with 10% povidone-iodine (PI). Methods: Sixty seven patients having surgery under epidural anesthesia were enrolled in this prospective study. After preparation with 10% PI, skin swab cultures were taken from the site of catheter insertion. Epidural needles were cultured immediately after epidural catheters were placed. Catheters were removed at 48 hours and 2 to 3 cm of the distal tips were cultured as well. Results: Fifty-six skin swabs, 52 epidural needles, and 48 catheters were cultured. Although only 3.5% (2) colonization was observed on skin surface cultures, 34.6% (18) of the epidural needles and 45.8% (22) of the catheters were colonized. No systemic or local infection was observed. Conclusions: Our results suggest that despite skin surface disinfection with PI, there is still significant risk for contamination of needles and catheters during epidural catheterization.
Databáze:	MEDLINE
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