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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 20, No. 2, 2015, pp. 80-87
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Bioline Code: js15036
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 20, No. 2, 2015, pp. 80-87
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Comparison of Chlorhexidine –Alcohol and Povidone Iodine Skin Preparation Skin Preparation Solutions in Orthopaedic and Trauma Surgery at An African Tertiary Hospital
Obamuyide, H.A.; Omololu, A.B.; Oluwatosin, O.M.; Ifesanya, A.O. & Fasina, A.N.O.
Abstract
Background:
The aim of this study was to compare the efficacy of Povidone-Iodine (PI) and
Chlorhexidine-Alcohol (CHG-A) skin preparation solutions in orthopaedic and trauma
surgery.
Methods This prospective randomised study described the bacterial skin flora and
compared the bacterial clearance rates by PI and CHG-A in patients undergoing clean
orthopaedic surgery at an African tertiary hospital.
Results:
There were 50 patients in each group. A baseline positive culture rate of 76.8%
was found. Coagulase-negative staphylococcus was the commonest aerobe (42.9%) while
Propionibacterium species was the commonest anaerobe (17.3%). The aerobic positive
culture rate reduced from 60% to 22% after PI preparation and from 49% to 6.2% after
CHG-A preparation (p=0.026). The anaerobic culture rate reduced from 54% to 44% after
PI preparation and from 53.1% to 43.8% after CHG-A preparation (p=0.435).The mean log
pre-preparation and post-preparation aerobe counts were 7.85/cm2 and 7.50/cm2
respectively in the PI group and 7.62/cm2 and 7.65/cm2 respectively in the CHG-A group
(p=0.715). The mean log pre-preparation and post-preparation anaerobe counts were
8.06/cm2 and 7.96/cm2 respectively in the PI group and 7.86/cm2 and 7.84/cm2
respectively in the CHG-A group (p=0.335).
Conclusion:
This study did not demonstrate an overall superiority of chlorhexidine-alcohol
over povidone-iodine skin preparation solution or vice versa.
Keywords
Chlorhexidine-Alcohol; Povidone-Iodine; Skin Antiseptics; Orthopaedics; Trauma
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