Use of iodine as topical cleanser on wounds is still controversial
Intraoperative Disinfection by Pulse Irrigation with Povidone-Iodine Solution in Spine Surgery
Make an appointment. Capen, and H. Many authors consider pulsed lavage more effective than bulb syringe in wound irrigation [ 24 — 26 ].
Povidone-iodine - Wikipedia
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Introduction Surgical site infection SSI in spine surgery is a serious complication in terms of healthy status of the patient, clinical outcome, and cost for the community. Solid iodine is fairly uncommon, evaporates readily as corrosive purple fumes, and is highly irritating to the skin, eyes, and mucous membranes.
If you should accidentally get some in your eyes, wash it away with water immediately. Archived PDF from the original on 13 December In group B, low-pressure irrigation with 2 litres of saline solution for between 5 and 10 minutes was performed before applying bone graft. Rogers, G. Hill and M. These deficiencies were overcome by the discovery and use of PVP-I, in which the iodine is carried in a complexed form and the concentration of free iodine is very low.
Iodine (Topical Route) Proper Use - Mayo Clinic
This article has been updated The evidence in this article is no longer current. Use of perioperative antibiotic treatment has been well supported by retrospective studies and randomized trials, and it should be utilized in any patients undergoing spine surgery [ 3 — 6 ].
Watanabe, N. Getting the Most From Antibiotics. Department of Health and Human Services. In both groups, before irrigation some cultures have been found positive for bacterial contamination. The resulting papers were qualitatively assessed, and only those papers relevant to wound management and with the primary objective of comparing the different antiseptics including PVP-I were selected for discussion at the meeting.
With povidone iodine PVP-I , there have been concerns about allergy, ineffective penetration, and toxic effects on host cells [ 4 , 5 , 6 , 7 ], but how justified are these concerns?