Comparative Study of Preoperative Skin Preparation with Aqueous Povidone Iodine Only Versus Povidone Iodine in Combination with Chlorhexidine in Clean Elective Surgeries
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
The aim of the present study is to evaluate the efficacy of povidone iodine alone and in combination with antiseptic agent containing alcoholic chlorhexidine in preoperative skin preparation by taking swab culture and to compare the rate of postoperative wound infection in both the groups. Patients and methods: This hospital based comparative study includesSixty Patients (Thirty in each Group) with no focus of infection on the body undergoing clean elective surgery at Siddhartha Medical College and General Hospital from 1 st July 2017 to28thFebruary 2018. Results: When compared to povidone iodine alone, using a combination of povidone iodine and alcoholic solution of chlorhexidine, wound infections were lesser and the colonization rates of the site of incision were reduced significantly. Hence Preoperative skin preparation with chlorhexidine gluconate 2.5% v/v in 70% propanol followed by aqueous povidone-iodine is an ideal regime as it has a broader antimicrobial spectrum and the rate of postoperative wound infections is much lower as compared to povidone iodine alone.
Authors and Affiliations
Dr. Ajay Kumar Mareedu, Dr. Abdul Sattar, Dr. N. Ram Kishan, Dr. K. Navaneeth Krishna
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