Dual application versus single application of povidone-iodine in reducing surgical site contamination during strabismus surgery

Christy E. Benson, Kathy L. Rogers, Donny W Suh

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose To investigate the contamination rates in patients undergoing strabismus surgery who received a single versus a dual application of povidone-iodine. Methods Patients undergoing strabismus surgery were divided into two groups of approximately equal size. Prior to surgery, the surgical sites for both groups were prepared by applying 4 drops of povidone-iodine 5% directly into the conjunctival fornices, after which the eyelashes were cleaned with cotton tips soaked with povidone-iodine 5%. Sterile gauze pads soaked with povidone-iodine 5% were used to clean the periocular skin. After lid speculum placement, the patients in the dual application group received an additional 2 drops of povidone-iodine in the conjunctival fornices. Intraoperatively, the conjunctiva, sclera, needles/sutures, and lid speculum were cultured. Gram stain and cultures were obtained and quantified. Contamination was defined as any bacterial growth on blood agar plates at 2 days. Results A total of 104 patients (aged 7 months to 79 years) were included. The single application group had a 25% contamination rate of surgical site and sutures; the dual application group, a 10% contamination rate. This difference was statistically significant (P = 0.03). The rate of eyelid speculum contamination was unaffected by additional applications (12.5% contamination rate in both groups [P = 0.5]). The additional application of povidone-iodine affected the contamination rate of the conjunctival incision site the most, with a decrease from 20.5% to 5% (P = 0.02). Conclusions In our study cohort a second application of povidone-iodine significantly decreased the rate of contamination of the surgical site and sutures. It did not affect contamination of the lid speculum.

Original languageEnglish (US)
Pages (from-to)347-350
Number of pages4
JournalJournal of AAPOS
Volume18
Issue number4
DOIs
StatePublished - Aug 2014

Fingerprint

Povidone-Iodine
Strabismus
Surgical Instruments
Sutures
Eyelashes
Sclera
Conjunctiva
Eyelids
Agar
Needles
Cohort Studies
Skin
Growth

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Ophthalmology

Cite this

Dual application versus single application of povidone-iodine in reducing surgical site contamination during strabismus surgery. / Benson, Christy E.; Rogers, Kathy L.; Suh, Donny W.

In: Journal of AAPOS, Vol. 18, No. 4, 08.2014, p. 347-350.

Research output: Contribution to journalArticle

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abstract = "Purpose To investigate the contamination rates in patients undergoing strabismus surgery who received a single versus a dual application of povidone-iodine. Methods Patients undergoing strabismus surgery were divided into two groups of approximately equal size. Prior to surgery, the surgical sites for both groups were prepared by applying 4 drops of povidone-iodine 5{\%} directly into the conjunctival fornices, after which the eyelashes were cleaned with cotton tips soaked with povidone-iodine 5{\%}. Sterile gauze pads soaked with povidone-iodine 5{\%} were used to clean the periocular skin. After lid speculum placement, the patients in the dual application group received an additional 2 drops of povidone-iodine in the conjunctival fornices. Intraoperatively, the conjunctiva, sclera, needles/sutures, and lid speculum were cultured. Gram stain and cultures were obtained and quantified. Contamination was defined as any bacterial growth on blood agar plates at 2 days. Results A total of 104 patients (aged 7 months to 79 years) were included. The single application group had a 25{\%} contamination rate of surgical site and sutures; the dual application group, a 10{\%} contamination rate. This difference was statistically significant (P = 0.03). The rate of eyelid speculum contamination was unaffected by additional applications (12.5{\%} contamination rate in both groups [P = 0.5]). The additional application of povidone-iodine affected the contamination rate of the conjunctival incision site the most, with a decrease from 20.5{\%} to 5{\%} (P = 0.02). Conclusions In our study cohort a second application of povidone-iodine significantly decreased the rate of contamination of the surgical site and sutures. It did not affect contamination of the lid speculum.",
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