Effect of povidone iodine on thyroid functions and urine iodine levels in caesarean operations

Fındık, Rahime Bedir; Yılmaz, Gülşen; Çelik, Hüseyin; Yılmaz, Fatma Meriç; Hamurcu, Ugur; Karakaya, Jale

doi:10.3109/14767058.2013.847417

Cited by 15 publications

(14 citation statements)

References 11 publications

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“…15 The effects of povidone iodine used during caesarean operations on maternal thyroid hormones was analysed and it was determined that when povidone iodine was used, preoperative and postoperative, thyroid hormone changes occurred. 16 Povidone iodine produced a significant increase in postoperative TSH values compared with preoperative values and it influenced TSH values in the mother but due to the short duration of caesarean operations povidone-iodine use may be reliable. 16 However, in operations lasting longer hours, if thyroid hormone level changes occur, the use of povidone-iodine should be considered.…”

Section: Discussionmentioning

confidence: 96%

“…16 Povidone iodine produced a significant increase in postoperative TSH values compared with preoperative values and it influenced TSH values in the mother but due to the short duration of caesarean operations povidone-iodine use may be reliable. 16 However, in operations lasting longer hours, if thyroid hormone level changes occur, the use of povidone-iodine should be considered.…”

Section: Discussionmentioning

confidence: 96%

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The effect of iodine in patients using povidone-iodine mouth wash on thyroid function

Murugesan

Venkat

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Thyroid gland is a key part of endocrine system and it performs its functions via two most important thyroid hormones thyroxine (T4) and triiodothyronine (T3). Thyroid gland is mainly regulated by thyroid-stimulating hormone (TSH). Povidone-iodine (polyvinylpyrrolidone-iodine, PVP-I) mouthwash is commonly used to treat infections of the oral cavity and oropharynx and iodine released from PVP-I can interfere with thyroid function. In this study the effect of brief treatment with povidone-iodine mouth wash on thyroid function was assessed. The aim of the present study was to assess whether iodine is absorbed through oral transmucosal route and interfere with TSH in serum.Methods: Fifty one patients with acute and chronic pharyngitis and tonsillitis were recruited and out of which forty-seven patients were treated with 20 ml of PVP-I mouthwash twice daily for 3 weeks and blood was collected from the respective patients before and after treatment with PVP-I. Serum thyroid stimulating hormone concentration was measured from the collected blood samples of the patients.Results: In the present study there was a small increase in serum TSH concentration during the therapy with PVP-I but the concentration determined was within the normal range.Conclusions: Based on the results of this study we conclude that the use of PVP-I for a brief period transiently increase TSH value and prolonged use should be avoided in people with an increased risk of thyroid dysfunction and other autoimmune disorders.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 96%

The effect of iodine in patients using povidone-iodine mouth wash on thyroid function

Murugesan

Venkat

2019

Int J Otorhinolaryngol Head Neck Surg

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“…Cord blood hyperthyrotropinaemia has been reported after disinfection of the skin with PVP-I during the last trimester of pregnancy, labour and also during caesarean section in mild to moderate iodine-deficient European countries3 8 and Turkey 9. However, Tahirović et al ,10 Brown et al 11 and Ordookhani et al 4 reported that, in iodine-replete regions, routine disinfection of the skin with PVP-I did not increase the incidence of cord blood hyperthyrotropinaemia.…”

Section: Discussionmentioning

confidence: 99%

Iodine-containing disinfectants in preparation for caesarean section: impact on thyroid profile in cord blood

Nili

Hantoushzadeh

Alimohamadi

et al. 2015

Postgraduate Medical Journal

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“…Furthermore, previously used povidone-iodine solutions for skin cleansing, resulting in the transcutaneous iodine absorption, were replaced by chlorhexidine-based antiseptics [87]. Findik et al indicated that the use of povidone iodine solutions during the caesarean sections influenced free triiodothyronine (fT3) thyroid-stimulating hormone (TSH) values in the mother, although it has not statistically significantly influenced urine iodine levels [90]. Additionally, it was also reported that use of iodine-containing antiseptics increased the urinary iodine status, without influencing the TSH status in the neonate [91].…”

Section: Parenteral Nutritionmentioning

confidence: 99%

Is There an Ideal Diet to Protect against Iodine Deficiency?

et al. 2021

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Iodine deficiency is a global issue and affects around 2 billion people worldwide, with pregnant women as a high-risk group. Iodine-deficiency prevention began in the 20th century and started with global salt iodination programmes, which aimed to improve the iodine intake status globally. Although it resulted in the effective eradication of the endemic goitre, it seems that salt iodination did not resolve all the issues. Currently, it is recommended to limit the consumption of salt, which is the main source of iodine, as a preventive measure of non-communicable diseases, such as hypertension or cancer the prevalence of which is increasing. In spite of the fact that there are other sources of iodine, such as fish, seafood, dairy products, water, and vegetables, the high consumption of processed food with a high content of unionised salt, alternative diets or limited salt intake can still lead to iodine deficiency. Thus, iodine deficiency remains a relevant issue, with new, preventive solutions necessary. However, it appears that there is no diet which would fully cover the iodine requirements, and iodine food supplementation is still required.

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Effect of povidone iodine on thyroid functions and urine iodine levels in caesarean operations

Cited by 15 publications

References 11 publications

The effect of iodine in patients using povidone-iodine mouth wash on thyroid function

The effect of iodine in patients using povidone-iodine mouth wash on thyroid function

Iodine-containing disinfectants in preparation for caesarean section: impact on thyroid profile in cord blood

Is There an Ideal Diet to Protect against Iodine Deficiency?

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