A Comparison of Chlorhexidine-Alcohol and Povidone-Iodine-Alcohol on the Incidence of Surgical Site Infection.

Autor: Fakoya A; Endocrine Surgery, University College Hospital, Ibadan, NGA., Afolabi A; Endocrine Surgery, University of Ibadan, Ibadan, NGA., Ayandipo O; Oncology, University of Ibadan, Ibadan, NGA., Makanjuola O; Micobiology, University College Hospital, University of Ibadan, Ibadan, NGA., Adepoju O; Surgery, National Health Service (NHS) Grampian, Elgin, GBR., Ajagbe O; Surgery/Oncology, University College Hospital, Ibadan, NGA., Afuwape OO; Surgery/General Surgery, University College Hospital, University of Ibadan, Ibadan, NGA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Jan 08; Vol. 16 (1), pp. e51901. Date of Electronic Publication: 2024 Jan 08 (Print Publication: 2024).
DOI: 10.7759/cureus.51901
Abstrakt: Background: Surgical site infection (SSI) persists as a global challenge, accounting for 20%-25% of all healthcare-associated infections. The SSI rate has been reported to range from 2.5% to 41.9%. Skin preparation with acceptable antiseptic preparations has a high recommendation from the Centers for Disease Control as an SSI preventive measure.
Aim: The aim was to compare the efficacy of 10% povidone-iodine in 70% isopropyl alcohol with 2% chlorhexidine in 70% isopropyl alcohol in preventing SSI.
Method: This prospective randomized study included patients who were followed up for 30 days looking for SSI. Swabs were taken from wounds that developed SSI. A culture of all swabs was done.
Result: One hundred and fifty-three patients were recruited into the study. Overall, eight (5.23%) of the 153 patients developed SSI. The SSI rate in clean wounds was 2.6%, while the SSI rate in clean-contaminated wounds was 7.9%. No statistically significant difference was found (p=0.141) between the two groups.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Fakoya et al.)
Databáze: MEDLINE