Iodine-impregnated incision drape and bacterial recolonization in simulated total knee arthroplasty.
Background and purpose -- Iodine-impregnated incision drapes (IIIDs) are used to prevent surgical site infection (SSI). However, there is some evidence to suggest a potential increase in SSI risk as a result of IIID use, possibly from promotion of skin recolonization. A greater number of viable bact...
| Publicado en: | Acta Orthopaedica Vol. 87; no. 4; pp. 380 - 386 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Medical Journals Sweden AB
2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117674575&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117674575 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17453674 1BVL jtl: Acta Orthopaedica issn: 17453674 maglogo: N pubinfo: dt: 2016 vid: 87 iid: 4 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 117674575 117674575 117674575 10.1080/17453674.2016.1180577 117674575 ppf: 380 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Iodine-impregnated incision drape and bacterial recolonization in simulated total knee arthroplasty. aug: au: Milandt, Nikolaj Nymark, Tine Jørn Kolmos, Hans Emmeluth, Claus Overgaard, Søren affil: Department of Orthopaedic Surgery and Traumatology sug: subj: Bacterial Colonization Evaluation Iodine Surgical Draping Arthroplasty, Replacement, Knee Surgical Wound Infection Prevention and Control Human Research Methodology ab: Background and purpose -- Iodine-impregnated incision drapes (IIIDs) are used to prevent surgical site infection (SSI). However, there is some evidence to suggest a potential increase in SSI risk as a result of IIID use, possibly from promotion of skin recolonization. A greater number of viable bacteria in the surgical field of an arthroplasty, and surgery in general, may increase the infection risk. We investigated whether IIID use increases bacterial recolonization compared to no drape use under conditions of simulated total knee arthroplasty (TKA). Methods -- 20 patients scheduled for TKA were recruited. Each patient had 1 knee randomized for draping with IIID, while the contralateral knee was left bare. The patients thus served as their own control. The operating room conditions and perioperative procedures of a TKA were simulated. Cylinder samples were collected from the skin of each knee prior to disinfection, and again on 2 occasions after skin preparation--75 min apart. Quantities of bacteria were estimated using a spread plate technique under aerobic conditions. Results -- We found similar quantities of bacteria on the intervention and control knees immediately after skin disinfection and after 75 min of simulated surgery. These quantities had not increased at the end of surgery when compared to baseline, so no recolonization was detected on the draped knees or on the bare knees. Interpretation -- The use of IIIDs did not increase bacterial recolonization in simulated TKA. This study does not support the hypothesis that IIIDs promote bacterial recolonization and postoperative infection risk. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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