Comparison of the antimicrobial efficacy of povidone-iodine-alcohol versus chlorhexidine-alcohol for surgical skin preparation on the aerobic and anaerobic skin flora of the shoulder region.
Dorothea DörfelMatthias MaiwaldGeorg DaeschleinGerald MüllerRobert HudekOjan AssadianGünter KampfThomas KohlmannJulian Camill HarnossAxel KramerPublished in: Antimicrobial resistance and infection control (2021)
PVP-I-ALC showed marginal benefits concerning the aerobic flora, but more substantial benefits over CHG-ALC concerning the anaerobic flora of the shoulder. Standard and prolonged contact times showed superiority for PVP-I-ALC for anaerobic flora at all immediate sampling points, but missed significance at 3-h sampling. The results underscore the need for protection against C. acnes and coagulase-negative staphylococci in orthopaedic surgery. The clinical relevance of these findings, however, should be studied with SSI as an endpoint.
Keyphrases
- microbial community
- wastewater treatment
- surgical site infection
- sewage sludge
- soft tissue
- minimally invasive
- high intensity
- wound healing
- staphylococcus aureus
- rotator cuff
- alcohol consumption
- coronary artery bypass
- magnetic resonance
- magnetic resonance imaging
- high resolution
- molecularly imprinted
- acute coronary syndrome
- coronary artery disease