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Intraoperative Disinfection by Pulse Irrigation with Povidone-Iodine Solution in Spine Surgery
Joint Authors
De Maio, F.
Mancini, Federico
Caterini, Roberto
De Luna, Vincenzo
Bernardi, Gabriele
Ippolito, E.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-02
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Deep wound infection in spine surgery is a debilitating complication for patients and increases costs.
The objective of this prospective study was to evaluate the efficacy of wound pulse irrigation with a dilute povidone-iodine solution in the prevention of surgical site infection.
Methods.
50 patients undergoing spinal surgery were randomly divided into two groups (A and B) of 25 patients each.
In group A, wounds were irrigated with dilute (3%) povidone-iodine solution through a low-pressure pulsatile device.
In group B, wounds were irrigated with saline solution through a bulb syringe.
In both groups, specimens for bacterial culture were harvested from surgical site before and after irrigation.
Results.
In group A, no surgical site infection occurred; in group B, deep wound infection was observed in 3 patients.
In both groups, before irrigation some cultures have been found positive for bacterial contamination.
Conclusion.
Our study seems to support the idea that low-pressure pulsating lavage of surgical wounds with povidone-iodine diluted to a nontoxic concentration of 3% is an effective therapeutic adjunct measure to prevent surgical site infection in spine surgery.
However, the number of the enrolled patients is small and a significant statistical analysis is not practicable.
This trial is registered with NCT03249363.
American Psychological Association (APA)
De Luna, Vincenzo& Mancini, Federico& De Maio, F.& Bernardi, Gabriele& Ippolito, E.& Caterini, Roberto. 2017. Intraoperative Disinfection by Pulse Irrigation with Povidone-Iodine Solution in Spine Surgery. Advances in Orthopedics،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1125264
Modern Language Association (MLA)
De Luna, Vincenzo…[et al.]. Intraoperative Disinfection by Pulse Irrigation with Povidone-Iodine Solution in Spine Surgery. Advances in Orthopedics No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1125264
American Medical Association (AMA)
De Luna, Vincenzo& Mancini, Federico& De Maio, F.& Bernardi, Gabriele& Ippolito, E.& Caterini, Roberto. Intraoperative Disinfection by Pulse Irrigation with Povidone-Iodine Solution in Spine Surgery. Advances in Orthopedics. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1125264
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125264