Use of iodine-impregnated surgical drapes for prevention of surgical site infection: a systematic review and meta-analysis

Abstract

For referencing Nicholson O et al. Use of iodine-impregnated surgical drapes for prevention of surgical site infection: a systematic review and meta-analysis.

Effectiveness of iodine-impregnated incise drapes for preventing surgical site infection in patients with clean or clean contaminated wounds: A systematic literature review and cost-consequence analysis

“…A previous review reported the intervention had no effect on the SSI rate compared to no drape (RR 1.03, 95% CI 0.06 to 1.66, p = 0.89) ( WHO 2018 ). A review by Nicholson et al (2020) found iodine-impregnated drapes are beneficial in reducing postoperative SSI for all surgeries including clean-contaminated and contaminated surgeries. Recent UK guidelines recommend the use of an iodophor-impregnated drape if a plastic adhesive drape is required unless there are any contraindications such as iodine allergy ( NICE 2020 : p9).…”

“…However, searches using the terms ‘iodine-impregnated incise drape,’ ‘ioban’ and ‘surgical site infection’ in PubMed on 22 July 2021 found no additional relevant publications. The Nicholson et al (2020) review was identified subsequently but did not identify new studies meeting our inclusion criteria.…”

“…A review by Webster and Alghamdi (2015) concluded that iodophor-impregnated drapes had no effect on SSI rates. Nicholson et al (2020) found iodine-impregnated drapes are beneficial in reducing postoperative SSI for all surgeries including contaminated surgeries. There is currently uncertainty about the costs and benefits, and understanding economic impact is vital to inform future tailored recommendations for infection-reducing interventions, for surgical intervention types and clean or clean-contaminated surgery.…”

“… Berríos-Torres et al (2017) determined with weak certainty no benefit compared to no drape from limited but high-quality evidence. The evidence on the use of iodophor-impregnated drapes has been debatable ( Anderson et al 2014 , Berríos-Torres et al 2017 , Nicholson et al 2020 , Webster & Alghamdi 2015 ). A review by Webster and Alghamdi (2015) concluded that iodophor-impregnated drapes had no effect on SSI rates.…”