Can povidone-iodine solution be used safely in a spinal surgery?

Chang, Fang Yeng; Chang, Ming Chau; Wang, Shih Tien; Yu, Wing Kwang; Liu, Chien Lin; Chen, Tain Hsiung

doi:10.1007/s00586-005-0975-6

Cited by 117 publications

(140 citation statements)

References 44 publications

Supporting

Mentioning

136

Contrasting

Unclassified

Order By: Relevance

“…No patients had an adverse or allergic reaction [56]. Chang et al also conducted a prospective, randomized study on 244 adults undergoing PSF and found a 4.8% rate of deep SSI in the normal saline group, compared to no infections in the betadine group [55]. Similarly, Hardacker and Hardacker reported a significantly lower rate of deep SSI after adult PSF when dilute betadine irrigation was used (4% versus 0.7%) [57•].…”

Section: Irrigation Solutionsmentioning

confidence: 99%

Surgical site infection after pediatric spinal deformity surgery

Glotzbecker

Hedequist

2012

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

The incidence of surgical site infection (SSI) after spinal deformity surgery for adolescent idiopathic scoliosis ranges from 0.5-6.7%. The risk of infection following spinal fusion in patients with neuromuscular scoliosis is greater, with reported rates of 6.1-15.2% for cerebral palsy and 8-41.7% for myelodysplasia. SSIs result in increased patient morbidity, multiple operations, prolonged hospital stays, and significant financial costs. Recent literature has focused on elucidating the most common organisms involved in SSIs, as well as identifying modifiable risk factors and prevention strategies that may decrease the rates of infection. These include malnutrition, positive urine cultures, antibiotic prophylaxis, surgical site antisepsis, antibioticloaded allograft, local application of antibiotics, and irrigation solutions. Acute and delayed SSIs are managed differently. Removal of instrumentation is required for effective treatment of delayed SSIs. This review article examines the current literature on the prevention and management of SSIs after pediatric spinal deformity surgery.

show abstract

Section: Irrigation Solutionsmentioning

confidence: 99%

Surgical site infection after pediatric spinal deformity surgery

Glotzbecker

Hedequist

2012

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

show abstract

“…Therefore, syringe pressure irrigation of SC tissue with saline solution has been performed after colorectal surgery to decrease the incidence of postoperative wound infection. 25 In contrast, Chang et al 26 however, the authors concluded that intraperitoneal irrigation or wound irrigation with povidone-iodine may be useful in patients with dirty or contaminated wounds and in perforation or spillage during colorectal cancer operations. In questionnaires on intraoperative peritoneal lavage, 38% of surgeons used aqueous betadine in the case of the dirty abdomen.…”

Section: Discussionmentioning

confidence: 97%

Application of an Electrolyzed Strongly Acidic Aqueous Solution Before Wound Closure in Colorectal Surgery

Takesue

Takahashi

Ichiki

et al. 2011

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

show abstract

“…In recently published CDC recommendations for SSI prevention, the use of aqueous iodophor solutions for intraoperative irrigation of deep or subcutaneous tissues is recommended [14]. The CDC based this recommendation on two randomised controlled trials performed in patients who underwent clean spine surgery [108,109] and on two randomised controlled trials performed in patients who underwent clean-contaminated, contaminated or dirty open abdominal surgery [110,111]. Again, it should be noted that these studies were not performed in musculoskeletal trauma patients, and specifically not in patients with an open fracture, where there is already serious damage to the local host environment.…”

Section: Surgical Debridement and Irrigationmentioning

confidence: 99%

Prevention of fracture-related infection: a multidisciplinary care package

Metsemakers

Onsea

Neutjens

et al. 2017

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Fracture-related infection (FRI) remains a challenging complication. It may result in permanent functional loss or even amputation in otherwise healthy patients. For these reasons, it is important to focus attention on prevention. In treatment algorithms for FRI, antibiotic stewardship programmes have already proved their use by means of a multidisciplinary collaboration between microbiologists, surgeons, pharmacists, infectious disease physicians and nursing staff. A similar approach, however, has not been described for infection prevention. As a first step towards achieving a multidisciplinary care package for infection prevention, this review summarises the most recent guidelines published by the World Health Organization (WHO) and US National Institutes of Health Centers for Disease Control and Prevention (CDC), primarily focusing on the musculoskeletal trauma patient. The implementation of these guidelines, together with close collaboration between infection control physicians, surgeons, anaesthesiologists and nursing staff, can potentially have a beneficial effect on the rate of FRI after musculoskeletal trauma surgery. It must be stated that most evidence presented here in support of these guidelines was not obtained from musculoskeletal trauma research. Although most preventive measures described in these studies can be generalised to the musculoskeletal trauma patient, there are still important differences with nontrauma patients that require further attention. Future research should therefore focus more on this very defined patient population and more specifically on FRI prevention.

show abstract

Can povidone-iodine solution be used safely in a spinal surgery?

Abstract: Diluted povidone-iodine solution can be used safely in spinal surgeries, and it will not influence wound healing, bone union and clinical outcome.

Cited by 117 publications

References 44 publications

Surgical site infection after pediatric spinal deformity surgery

Surgical site infection after pediatric spinal deformity surgery

Application of an Electrolyzed Strongly Acidic Aqueous Solution Before Wound Closure in Colorectal Surgery

Prevention of fracture-related infection: a multidisciplinary care package

Contact Info

Product

Resources

About