The effect of topical povidone iodine on wound infection following abdominal surgery

Gray, Jack; Lee, M. J. R.

doi:10.1002/bjs.1800680506

Cited by 26 publications

(32 citation statements)

References 14 publications

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“…Sindelar and Mason 16 demonstrated a low 2.9 percent wound infection rate in patients who had wounds irrigated with 1 percent PVI, in contrast to the control group, whose wounds were irrigated with normal saline (15.1 percent wound infection rate; P<0.001) in a randomized, controlled study of 500 patients. Gray and Lee 17 found that the overall wound infection rate decreased to 9.9 percent in 0.5 percent dry-sprayed PVI wounds compared with a 24.4 percent rate in the control group (P<0.05), of all 153 abdominal operations. In contaminated wounds, PVI spraying significantly reduced wound infection rate from 52 to 11 percent.…”

Section: Wound Irrigationmentioning

confidence: 93%

Benefits of Povidone-Iodine Solution in Colorectal Operations: Science or Legend

Pattana-arun¹,

Wolff²

2008

Diseases of the Colon &Amp; Rectum

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Povidone-iodine solution (Betadine) has long been accepted as an effective topical broad spectrum antiseptic, disinfectant, and tumoricidal agent. In colorectal operations, this solution generally has been used for the purpose of minimizing postoperative septic complications and reducing cancer recurrence, although the optimal application, advantages, and undesirable side effects have been debated. With limited prospective, randomized, controlled trials and insufficient data available, this article examines the safe and effective clinical applications of this solution for colorectal operations.

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Section: Wound Irrigationmentioning

confidence: 93%

Benefits of Povidone-Iodine Solution in Colorectal Operations: Science or Legend

Pattana-arun¹,

Wolff²

2008

Diseases of the Colon &Amp; Rectum

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“…Em cirurgias abdominais, resultados favoráveis foram encontrados em dois estudos: taxa geral de infecção de ferida cirúrgica -exceto para cirurgias biliares -ocorrên-cia de sepsis e índice de culturas prévias positivas, significativamente menores entre os pacientes que receberam PVP-I (19) . A associação do emprego do PVP-I à diminuição da taxa de infecção entre as mulheres submetidas, principalmente, a apendicectomias e cirurgias intestinais; o uso de antibiótico juntamente com o PVP-I, na fase pós-operatória, também resultou em taxa de infecção de ferida significativamente menor (20) .…”

Section: Discussionunclassified

“…A associação do emprego do PVP-I à diminuição da taxa de infecção entre as mulheres submetidas, principalmente, a apendicectomias e cirurgias intestinais; o uso de antibiótico juntamente com o PVP-I, na fase pós-operatória, também resultou em taxa de infecção de ferida significativamente menor (20) . Nesse sentido, embora os antibióticos possam ser mais efetivos que o PVP-I na redução de infecção/sepsis em feridas, há o risco do desenvolvimento de multirresistência bacteriana (19)(20) .…”

Section: Discussionunclassified

Uso de iodóforo tópico em feridas agudas

Oliveira

Santos

2008

Rev. esc. enferm. USP

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RESUMENEn esta investigación se tuvo como objetivo realizar una revisión sistemática de la literatura respecto a la utilización del yodo tópico y/o compuestos en el tratamiento de las heridas agudas. Los ensayos clínicos fueron localizados por medio de la Base de Datos Cochrane, utilizándose los siguientes descriptores: iodine, acute wound, treatment, healing, infection, surgery, surgical. Veinte (52,6%), de 38 artículos, se encuadraron en los criterios de inclusión, siendo analizados en cuanto a las características de los periódicos y de los estudios y clasificados en: yodo versus otros agentes tópi-cos (4/ 20%); yodo versus apósitos (1/ 5%); yodo versus solución fisiológica (5/ 25%); yodo versus sin yodo (8/ 40%) y yodo en diferentes concentraciones (2/ 10%). Resultados favorables para el yodo se obtuvieron en el 45% de los artículos. En cuanto a las tendencias de los resultados, tres de cinco artículos se mostraron favorables para la cicatrización de heridas y prevención de infección y nueve de 15 artículos fueron desfavorables al uso del yodo tópico cuando sólo la prevención de infección fue investigada. DESCRIPTORES ABSTRACTThe purpose of this study was to carry out a systematic review of the literature regarding the use of topic iodine and/or compounds in the treatment of acute wounds. The clinical trials were searched at the Cochrane's database using the following descriptors: iodine, acute wound, treatment, healing, infection, surgery, surgical. Twenty studies (52.6%) out of 38 met the criteria for inclusion. The articles were analyzed regarding journal and study characteristics and classified into five groups: iodine versus other topic agents (4/ 20%); iodine versus types of dressings (1/ 5%); iodine versus saline solution (5/ 25%); iodine versus no iodine (8/ 40%); and iodine at different concentrations (2/ 10%). Favorable results for the use of iodine and/or compounds occurred in 45% of the studies. Three out of 5 studies showed favorable results for healing and prevention of infection and 9 out of 15 studies were not favorable when only infection prevention was investigated. KEY WORDS RESUMOEsta pesquisa objetivou realizar revisão sistemática da literatura relacionada ao uso de iodóforos tópicos no tratamento de feridas agudas. Os ensaios clínicos foram localizados por meio da Base de Dados Cochrane, utilizando-se os seguintes descritores: iodine, acute wound, treatment, healing, infection, surgery, surgical. Vinte (52,6%), dentre 38 artigos, enquadraramse nos critérios de inclusão, sendo analisados quanto às características dos periódicos e dos estudos e classificados em: iodóforo versus outros agentes tópicos (4/ 20%); iodóforo versus coberturas (1/ 5%); iodóforo versus soro fisiológico (5/ 25%); iodóforo versus sem iodóforo (8/ 40%) e iodóforos em diferentes concentrações (2/ 10%). Resultados favoráveis para os iodóforos ocorreram em 45% dos artigos. Quanto às tendências dos resultados, três dentre cinco artigos mostraram-se favoráveis para a cicatrização de feridas e prevenção de infecção e nov...

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“…Connel and Russelot [5] found it to be a highly effective degerming agent. Grady and Lee found it effective in abdominal surgery [6]. In 1983 Bapat et al used Betadine for peritoneal lavage [7].…”

Section: Discussionmentioning

confidence: 99%

Prevention of Post-Operative Wound Infection in Abdominal Operations

Gupta

Maudar

1996

Medical Journal Armed Forces India

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One hundred patients undergoing abdominal surgery were included in this prospective study. The role of local application of Betadine, usc of synthetic sutures, and usc of low pressure subcutaneous suction drainage were evaluated in preventing post-operative wound infection. The infection rate was 15 per cent with Betadine, 15.4 per cent with prolene, 20 per cent with subcutaneous suction drainage and 30.8 per cent in the control group. l\IJAFI 1996; 52 : 71-74

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The effect of topical povidone iodine on wound infection following abdominal surgery

Cited by 26 publications

References 14 publications

Benefits of Povidone-Iodine Solution in Colorectal Operations: Science or Legend

Benefits of Povidone-Iodine Solution in Colorectal Operations: Science or Legend

Uso de iodóforo tópico em feridas agudas

Prevention of Post-Operative Wound Infection in Abdominal Operations

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