Presurgical Antiseptic Efficacy of Chlorhexidine Diacetate and Providone-Iodine in the Canine Preputial Cavity

Neihaus, Steven A.; Hathcock, Terri; Boothe, Dawn M.; Goring, Robert L.

doi:10.5326/jaaha-ms-5681

Cited by 15 publications

(13 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In veterinary medicine there is no agreement on which biocide has the greatest efficacy in reducing the skin microbiota, aiming at preventing SSI development [ 4 – 6 ]. In addition, different skin asepsis protocols may be adopted according to the location of surgery in dogs [ 7 – 9 ]. For instance, in bitches undergoing ovariohysterectomy, 0.3% stabilized glutaraldehyde and alcohol (SG + A), 0.3% SG and water, and 4% chlorhexidine gluconate tincture revealed to be equally effective [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Skin asepsis protocols as a preventive measure of surgical site infections in dogs: chlorhexidine–alcohol versus povidone–iodine

et al. 2018

View full text Add to dashboard Cite

BackgroundMost of surgical site infections (SSI) are caused by commensal and pathogenic agents from the patient’s microbiota, which may include antibiotic resistant strains. Pre-surgical asepsis of the skin is one of the preventive measures performed to reduce SSI incidence and also antibiotic resistance dissemination. However, in veterinary medicine there is no agreement on which biocide is the most effective.The aim of this study was to evaluate the effectiveness of two pre-surgical skin asepsis protocols in dogs. A total of 46 animals were randomly assigned for an asepsis protocol with an aqueous solution of 7.5% povidone-iodine or with an alcoholic solution of 2% chlorhexidine. For each dog, two skin swab samples were collected at pre-asepsis and post-asepsis, for bacterial quantification by conventional techniques and isolation of methicillin-resistant species.ResultsMost samples collected at the post-asepsis did not present bacterial growth, both for the animals subjected to the povidone-iodine (74%) or to the chlorhexidine (70%) protocols. In only 9% of the cases a significant bacterial logarithmic reduction was not observed, indicating possible resistance to these agents. Also, the logarithmic reduction of the bacterial quantification from pre- and post-asepsis time, was not statistically different for povidone-iodine (6.51 ± 1.94 log10) and chlorhexidine (6.46 ± 2.62 log10) protocol.From the 39% pre-asepsis swabs which showed bacterial growth in MRSA modified chromogenic agar medium, only one isolate was identified as Staphylococcus aureus and one as S. epidermidis. False positives were mainly other staphylococci species, as well as Enterobacteriaceae.ConclusionsPre-surgical skin asepsis protocols with povidone-iodine or chlorhexidine showed similar efficacy in the elimination of methicillin resistant bacteria and preventing surgical site infections in dogs undergoing surgery.

show abstract

Section: Introductionmentioning

confidence: 99%

Skin asepsis protocols as a preventive measure of surgical site infections in dogs: chlorhexidine–alcohol versus povidone–iodine

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The skin was prepped with povidone iodine scrub in a series of three scrubs. The prepucial fornix was lavaged with either 1% povidone iodine solution, or 0.05% chlorhexidine solution . The dog was then positioned on the operating table in dorsal recumbency with the hind limbs in extension (Fig ).…”

Section: Methodsmentioning

confidence: 99%

Ventral Midline Preputial Approach to the Caudal Abdomen in Male Dogs

2016

View full text Add to dashboard Cite

Objective: To describe a ventral midline preputial approach to the caudal abdominal cavity of male dogs. Study Design: Retrospective clinical study. Sample Population: Client-owned dogs (n512). Method: Medical records of dogs which underwent a ventral midline preputial approach to the caudal abdominal cavity were reviewed. The procedure, outcome, and complication were recorded. Results: Dogs underwent the preputial approach to the caudal abdominal cavity for various conditions. All dogs had an uneventful postoperative recovery and no major complications were recorded until suture removal at 10-14 days postoperative. Two dogs had minor complications treated conservatively which resolved. Conclusion: The use of ventral midline preputial approach is an option for access to the caudal abdomen. The approach preserves the protractor preputii muscles, obviates ligation of the branches of the caudal superficial epigastric vessels and eliminates the need for extensive subcutaneous dissection.A limited caudal abdominal approach in the male dog is usually performed for exposure of the prostate gland, exposure of the urinary bladder and exploration of the caudal abdominal structures in this area. The standard approach involves a parapreputial skin incision and dissection of the abdominal subcutaneous tissues to expose the caudo-ventral midline and linea alba.1 This approach involves extensive subcutaneous dissection, severance of the preputial muscles, and ligation of the branches of the caudal superficial epigastric vessel. The objective of this paper is to describe an alternate approach to the caudal abdominal cavity in male dogs via a ventral midline preputial incision. MATERIALS AND METHODSMedical records at The University of Zurich Veterinary Teaching Hospital and Miami Veterinary Specialists were searched for cases where a ventral midline preputial approach to the caudal abdominal cavity was used. A total of 12 male dogs with postoperative evaluation were included. Surgical ApproachDogs were prepared for aseptic abdominal surgery. The urinary bladder was manually expressed or urine removed via urethral catheter before surgery. The ventral abdomen was clipped free of hair from the xiphoid caudally to the pubic margins. The skin was prepped with povidone iodine scrub in a series of three scrubs. The prepucial fornix was lavaged with either 1% povidone iodine solution, or 0.05% chlorhexidine solution.2 The dog was then positioned on the operating table in dorsal recumbency with the hind limbs in extension (Fig 1).An incision was made through the skin and subcutaneous tissue (external lamina of the prepuce). The incision was centered over the ventral midline of the prepuce beginning cranially, approximately 1.0 cm caudal to the fornix of the prepuce and extending caudally to the base of the prepuce (Fig 2). Hemostasis was performed as necessary with monopolar electrocoagulation. The incision exposed the ventral aspect of the internal preputial lamina (Fig 2). The penis underlying the exposed internal lamina was then retra...

show abstract

“…Swelling was negatively correlated with microbial load; that is, very obvious swelling was present in sites with T1 swabs and catheters that tested negative to microbial culture. Thus, swelling in our sample has been hypothesized to be the result of the corrosiveness and tissue irritating effects of iodine, even if its available concentration in povidone-iodine is very low [22,25]; it has been reported that the development of acute contact dermatitis has an incidence as high as 50% in patients treated with povidone-iodine scrubbing in dogs [26]. Another possible explanation would be a local immune response after tissue damage during catheter placement: This would explain why horses with swelling were less likely to have positive bacterial cultures.…”

Section: Timementioning

confidence: 98%

Using Cyanoacrylate Microbial Sealant for Skin Preparation Prior to the Placement of Intravenous Catheters in Horses

Pasolini

Passamonti

Uccello³

et al. 2015

Journal of Equine Veterinary Science

View full text Add to dashboard Cite

Presurgical Antiseptic Efficacy of Chlorhexidine Diacetate and Providone-Iodine in the Canine Preputial Cavity

Cited by 15 publications

References 32 publications

Skin asepsis protocols as a preventive measure of surgical site infections in dogs: chlorhexidine–alcohol versus povidone–iodine

Skin asepsis protocols as a preventive measure of surgical site infections in dogs: chlorhexidine–alcohol versus povidone–iodine

Ventral Midline Preputial Approach to the Caudal Abdomen in Male Dogs

Using Cyanoacrylate Microbial Sealant for Skin Preparation Prior to the Placement of Intravenous Catheters in Horses

Contact Info

Product

Resources

About