Conventional povidone-iodine paint only technique vs. spray technique in preoperative antisepsis of anterior abdominal wall: a comparison of effectiveness and cost

Abstract

To assess the effectiveness of spray technique (aqueous based solution in a reusable sprayer) and conventional paint only technique in view of reducing abdominal wall bacteria and to assess the volume of povidone-iodine used in each technique and evaluate which technique is more cost-effective. Methodology The sample included 70 patients, who had elective Gynaecological surgeries at Teaching Hospital, Kandy (2014-2015). This was a non-randomized clinical trial. In all patients, half the abdomen was prepared using the conventional technique and the other half using the new spray technique. Prepreparation and post-preparation skin swabs were taken and cultured to assess the mixed bacterial colony counts. Two output variables were measured; percentage reduction of mixed bacterial colony counts between preoperative and postoperative cultures for the two methods separately and the volume of povidone-iodine used in each method.

Knowledge, attitudes, and practices on the usage of antiseptics prior to invasive medical procedures: Evidence from Sri Lankan Healthcare Professionals

“…11 According to studies, the most widely used and clinically accepted antiseptic is chlorhexidine, [12][13][14] although not very commonly used in Sri Lanka. [14][15][16] Currently, there is a need for evidence-based survey studies in Sri Lanka on the commercial use of 70% alcohol, povidone-iodine, chlorhexidine, and other skin antiseptics, as well as the knowledge and attitude on the practical antiseptic usage in a healthcare setting. Therefore, the primary objective of this study was to identify the preferred antiseptic used in practice by medical professionals in Sri Lanka and explore the underlying factors that contributed to their selection.…”

“…11 According to studies, the most widely used and clinically accepted antiseptic is chlorhexidine, 12 – 14 although not very commonly used in Sri Lanka. 14 – 16 …”