Influence of Povidone-Iodine Preoperative Showers on Skin Colonization in Elective Plastic Surgery Procedures

Abstract

Single preoperative povidone-iodine showers are effective in reducing staphylococcal skin colonization before elective clean plastic surgical procedures on the thorax and abdomen.

Preoperative Skin Antiseptic Preparations for Preventing Surgical Site Infections: A Systematic Review

“…This review, which is based on more recent clinical trials, supports the idea that presurgical showering with CHG is effective for reducing bacterial burden, but the effect on SSIs was inconclusive. In 1 study, 12 PI was used as a presurgical showering solution, and 2 studies 17,18 compared PI surgical site preparation to soap and water or saline wound irrigation. None of these studies found a reduction in SSIs with PI use.…”

“…Twenty studies of the comparative clinical effectiveness of preoperative skin antiseptic preparations provided information about presurgical showers, [10][11][12][13][14][15][16] antiseptic preparation compared with nonmedicated soap, 17,18 comparison of antiseptics, [19][20][21][22][23][24][25][26][27] and draping. 23,28,29 Two previous systematic reviews 30,31 examined the effectiveness of presurgical showering for the reduction of skin flora and SSIs.…”

“…Of the 20 included studies, 11 were RCTs, but 5 used an inappropriate or undescribed randomization method. 11,12,18,20,28 Two RCTs 13,22 reported blinding of patients, and 6 RCTs 11-13,22,23,28 reported blinding of outcome assessors. Eight included studies were cohort or case-control studies and were not subject to randomization or blinding.…”

“…Wound classification was not reported by 7 studies. 11,14,16,20,23,26,28 Five studies 12,13,17,18,21 involved clean wounds, 3 studies 22,24,29 were cleancontaminated, and 4 studies 10,15,19,25,27 included more than 1 wound classification. Formulation (aqueous or alcoholic), strength, and application method of skin antiseptics was not consistent across studies.…”

Emerging Evidence for Seasonality of Gram-Negative Bacterial Infections

“…Previous trials have demonstrated that chlorhexidine or povidone-iodine preoperative showers are effective at quantitatively reducing skin colonization. 8 " 10 However, other trials have reported that preoperative antiseptic showers did not influence the incidence of surgical site infections. 11 Skin colonization plays an important role in surgical site infection.…”