Article
Dermatology
Panfeng Wang, Dandan Wang, Lingqiao Zhang
Summary: This study conducted a systematic evaluation to assess the efficacy of chlorhexidine and povidone-iodine as primary components in preventing surgical site infection (SSI). The meta-analysis results indicated that chlorhexidine was more effective than povidone-iodine in reducing the incidence of surgical site wound infections, superficial SSIs, and deep SSIs.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Public, Environmental & Occupational Health
Dorothea Doerfel, Matthias Maiwald, Georg Daeschlein, Gerald Mueller, Robert Hudek, Ojan Assadian, Gunter Kampf, Thomas Kohlmann, Julian Camill Harnoss, Axel Kramer
Summary: This study compared the effects of two antiseptics on skin microbiota, demonstrating that one antiseptic was more effective in removing anaerobic bacteria.
ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
(2021)
Article
Public, Environmental & Occupational Health
S. J. Monstrey, D. Lepelletier, A. Simon, G. Touati, S. Vogt, F. Favalli
Summary: This study investigated the impact of different application techniques on the antiseptic activity of alcoholic povidone-iodine solution. The results showed significant antiseptic activity with all modes of application, and greater efficacy was achieved with back-and-forth friction method compared to concentric circle method. These findings suggest that application technique may influence antiseptic activity, and comparable application techniques should be considered when comparing the efficacy of different antiseptic substances.
JOURNAL OF HOSPITAL INFECTION
(2022)
Review
Nursing
Li Li, Yu Wang, Shouyan Wang
Summary: This study conducted a systematic review and meta-analysis to evaluate the efficacy of chlorhexidine and povidone-iodine in preventing postoperative surgical site infections (SSI) and relevant bacterial data. The results indicated that chlorhexidine was more effective than povidone-iodine in preventing SSI, and the two disinfectants had different effects on bacterial colonization depending on the type of incision.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2022)
Article
Medicine, General & Internal
Gerard P. Slobogean, Sheila Sprague, Jeffrey L. Wells, Lehana Thabane, C. Daniel Mullins, Anthony D. Harris, Amber Wood Msn, Roman M. Natoli, Todd O. McKinley, William Obremskey, Phillip M. Mitchell, Jennifer E. Hagen, Marissa Pazik, Stephen J. Warner, Joshua L. Gary, Herman Johal, Jodi L. Gallant, Kyle J. Jeray, Stephanie L. Tanner, Justin Fowler, Sarah N. Pierrie, Robert O'Toole, Andrea L. Howe, Michael J. Prayson, Jennifer Jerele, Christina L. Boulton, Jason Lowe, Niloofar Dehghan, Michael D. McKee, Saam Morshed, Meir T. Marmor, Ernesto Guerra-Farfan, Yaiza Garcia-Sanchez, Francesc Marcano-Fernandez, Laia Martinez-Carreres, Nathan N. O'Hara, Shannon Dodds, David Pogorzelski, Sofia Bzovsky, Diane Heels-Ansdell, Olivia Paige Szasz, Gregory J. Della Rocca, Robert D. Zura, Lucas S. Marchand, Joan N. Hebden, Joseph T. Patterson, Christopher Lee, Lyndsay M. O'Hara, Debra Marvel, Jana E. Palmer, I. Leah Gitajn, Jean-Claude G. D'alleyrand, Jessica C. Rivera, Franca Mossuto, Manjari Joshi, Jeff Friedrich, Gordon Guyatt, P. J. Devereaux, Mohit Bhandari
Summary: This study compared the effect of aqueous 10% povidone-iodine and aqueous 4% chlorhexidine gluconate on the risk of surgical site infection in patients with open fractures requiring surgery. The results showed no significant difference between the two groups. Either aqueous 10% povidone-iodine or aqueous 4% chlorhexidine gluconate can be selected for skin antisepsis in patients with open fractures based on availability, contraindications, or cost.
Review
Dermatology
Dunyao Bai, Fan Zhou, Liuting Wu
Summary: Surgical site infections (SSIs) have a significant impact on patient health and healthcare costs. This meta-analysis examines the effectiveness of antiseptics, chlorhexidine and povidone-iodine, in reducing SSIs and concludes that chlorhexidine is more effective than povidone-iodine.
INTERNATIONAL WOUND JOURNAL
(2023)
Review
Infectious Diseases
Hasti Jalalzadeh, Hannah Groenen, Dennis R. Buis, Yasmine E. M. Dreissen, Jon H. M. Goosen, Frank F. A. Ijpma, Maarten J. van der Laan, Roald R. Schaad, Patrique Segers, Wil C. van der Zwet, Mitchel Griekspoor, Wouter J. Harmsen, Niels Wolfhagen, Marja A. Boermeester
Summary: This study compared the efficacy of different skin preparation solutions for preventing SSIs in adult patients. Results showed that 2.0-2.5% chlorhexidine in alcohol and 1.5% olanexidine were most effective in preventing SSIs. No specific concentration of chlorhexidine in alcohol was recommended for clean surgery.
Article
Medicine, General & Internal
Summary: A trial conducted in low-income and middle-income countries did not demonstrate benefits of 2% alcoholic chlorhexidine skin preparation compared with povidone-iodine, or triclosan-coated sutures compared with non-coated sutures, in preventing surgical site infections in cleancontaminated or contaminated or dirty surgical wounds. Both interventions are more costly than alternatives, and these results do not endorse routine use.
Article
Orthopedics
Abdul Fettah Buyuk, Harrison K. Tam, John M. Dawson, Amir A. Mehbod, Ensor E. Transfeldt, Christopher Alcala
Summary: The study investigated the impact of adding preoperative nasal decontamination on the rate of surgical site infections (SSI) in adult thoracolumbar spinal surgeries. The results showed that routine nasal antiseptic swab did not significantly affect the overall rate of SSI in these surgeries.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS GLOBAL RESEARCH AND REVIEWS
(2021)
Article
Clinical Neurology
Simon G. Ammanuel, Caleb S. Edwards, Andrew K. Chan, Praveen Mummaneni, Joseph Kidane, Enrique Vargas, Sarah D'Souza, Amy D. Nichols, Sujatha Sankaran, Adib A. Abla, Manish K. Aghi, Edward F. Chang, Shawn L. Hervey-Jumper, Sandeep Kunwar, Paul S. Larson, Michael T. Lawton, Philip A. Starr, Philip Theodosopoulos, Mitchel S. Berger, Michael W. McDermott
Summary: The study found that preoperative chlorhexidine gluconate (CHG) showers did not significantly reduce the risk of surgical site infection (SSI) after cranial surgery.
JOURNAL OF NEUROSURGERY
(2021)
Review
Surgery
Ryckie G. Wade, Nicholas E. Burr, Gordon McCauley, Grainne Bourke, Orestis Efthimiou
Summary: The study suggests that alcoholic formulations of 4%-5% CHG are safer and twice as effective as PVI (alcoholic or aqueous solutions) in preventing infection after clean surgery in adults.
Article
Anesthesiology
Hakim Harkouk, Tristan Thibault-Sogorb, Alain Beauchet, Florence Espinasse, Christine Lawrence, Valeria Martinez, Dominique Fletcher
Summary: The study compared the cutaneous antiseptic efficacy of 2% alcoholic chlorhexidine and povidone-iodine-alcohol for preventing bacterial colonisation of PNCs in orthopaedic surgery. The use of alcoholic chlorhexidine was associated with a lower incidence of catheter colonisation, without any catheter-related infections or adverse effects observed in either group. Risk factors for colonisation included a catheter use duration >= 3 days and obesity.
ANAESTHESIA CRITICAL CARE & PAIN MEDICINE
(2021)
Review
Surgery
Tatsuki Hasegawa, Sho Tashiro, Takayuki Mihara, Junya Kon, Kazuki Sakurai, Yoko Tanaka, Takumi Morita, Yuki Enoki, Kazuaki Taguchi, Kazuaki Matsumoto, Kazuhiko Nakajima, Yoshio Takesue
Summary: This study demonstrates the effectiveness of alcohol-based CHG solution with a 0.5 per cent or higher concentration in surgical skin preparation to prevent SSI, providing valuable insights for healthcare practices.
Review
Ophthalmology
Andrzej Grzybowski, Hiroyuki Shimada, Hiroyuki Nakashizuka, Jagger Koerner
Summary: Endophthalmitis following intraocular surgery is rare with current antiseptic techniques, but challenges such as increased multidrug-resistant bacterial endophthalmitis and low rate of endophthalmitis caused by typical bacteria still exist. Recent findings show that povidone-iodine is widely available and repetitively applying diluted povidone-iodine can effectively sterilize the ocular surface.
CURRENT OPINION IN OPHTHALMOLOGY
(2022)
Article
Multidisciplinary Sciences
Koshi Ota, Koji Oba, Keisuke Fukui, Yuri Ito, Emi Hamada, Naomi Mori, Masahiro Oka, Kanna Ota, Yuriko Shibata, Akira Takasu
Summary: The study found that disinfecting puncture sites with povidone-iodine instead of alcohol/chlorhexidine and collecting blood from the femoral artery were associated with higher rates of contaminated blood cultures.
SCIENTIFIC REPORTS
(2021)