2021
DOI: 10.1038/s41598-021-97838-8
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Meta-analysis of the efficacy of preoperative skin preparation with alcoholic chlorhexidine compared to povidone iodine in orthopedic surgery

Abstract: Preoperative skin preparation is an effective method to prevent surgical site infections (SSI). Alcoholic chlorhexidine (CHG) and povidone iodine (PV-I) are the most widely used antiseptic agents. This meta-analysis aims to determine their efficacy in reducing natural bacterial skin flora in clean orthopedic surgery. A systematic search was conducted through current literature up to June 2021 to identify clinical randomized trials that compared the efficacy of alcoholic chlorhexidine and povidone iodine in red… Show more

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Cited by 11 publications
(12 citation statements)
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References 47 publications
(44 reference statements)
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“…The majority of endogenous skin flora are associated with the superficial stratum corneum [ 10 , 61 ]. These are more successfully managed with the mechanical and chemical means of clinical PSPs [ 10 , 61 ].…”
Section: Discussionmentioning
confidence: 99%
See 3 more Smart Citations
“…The majority of endogenous skin flora are associated with the superficial stratum corneum [ 10 , 61 ]. These are more successfully managed with the mechanical and chemical means of clinical PSPs [ 10 , 61 ].…”
Section: Discussionmentioning
confidence: 99%
“…The majority of endogenous skin flora are associated with the superficial stratum corneum [ 10 , 61 ]. These are more successfully managed with the mechanical and chemical means of clinical PSPs [ 10 , 61 ]. Their eradication accounts for the considerable microbial reduction observed for clinical PSPs in FDA filings (>2 log 10 ).…”
Section: Discussionmentioning
confidence: 99%
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“…The occurrence of the infection prolongs hospital stays [3], and is associated with morbidity [4] and excess medical costs [5]. The main source of infection is suggested the normal skin flora of the skin [6]. Therefore, appropriate presurgical skin antisepsis of the surgical site is essential.…”
Section: Introductionmentioning
confidence: 99%