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11 December 2020 : Review article  

Preoperative Intranasal Decolonization with Topical Povidone-Iodine Antiseptic and the Incidence of Surgical Site Infection: A Review

Vidmi Taolam Martin1ABCDEF, Mohamed Abdullahi Abdi1ABEF, Jie Li1BCEF, Dongtai Li1BCDF, Zhaozhen Wang1BCDE, Xianliao Zhang1BDEF, Welera Haissou Elodie2BCEF, Bo Yu1ABCDEF*

DOI: 10.12659/MSM.927052

Med Sci Monit 2020; 26:e927052

Table 1 Clinical characteristics of a decontamination protocol on surgical site infection in patients undergoing surgery from included studies.

Fisrt authorParticipantsStudy designInterventionP value
Bebko SP [], 201521 365Prospective clinical studyChlorhexidine washcloths 2% (one time the night before and the morning of the operation day)Oral rinse 0.12% (one time the night before and the morning of the operation day)Intranasal povidone-iodine solution 5% (one time the morning of the operation day).02
Phillips M [], 201622 842Randomized open label trialIntranasal povidone-iodine solution 5% (4 applications, within 2 hours of the surgical incision)Chlorhexidine wipes 2% (6 applications, one time the evening before and the morning of the operation day).1
Rezapoor M [], 201723 143Randomized, placebo-controlled studyIntranasal povidone-iodine solution 5% (one time the morning of the operation day).003
Urias DS [], 201824 962Retrospective reviewIntranasal povidone-iodine solution 5% (2 applications in each nostril, one time the morning of the operation day)Bathing with 2% CHG washcloths or Dynahex 4% CHG solution (one time the night before operation, if possible, and the morning of the operation day).020
Peng HM, [], 201825 545Prospective cross-sectional study5% povidone-iodine nasal (both nostrils twice a day for 5 days prior to the surgery)Chlorhexidine gluconate (baths for five days before the operation)<.001
CHG – chlorhexidine.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750