ISSN 1301 - 0883 | E-ISSN: 1309-3886
Povidone-iodine antisepsis in lumbar disc surgery [Eastern J Med]
Eastern J Med. 2022; 27(4): 549-551 | DOI: 10.5505/ejm.2022.69077

Povidone-iodine antisepsis in lumbar disc surgery

Abdurrahim Taş1, Nur Aycan2, Abdurrahman Aycan1, İrfan Zengin1, Mehmet Edip Akyol1
1Van Yuzuncu Yil University Faculty of Medicine, Department of Neurosurgery, Van, Turkey.
2Private clinic, Department of Pediatrics, Van, Turkey.

INTRODUCTION: Postoperative surgical site infection still constitute a major concern in spinal surgery and related with poor outcome. We aimed to investigate the effect of povidone-iodine (PVP-I) on skin colonization in lumbar disc herniation (LDH) surgery.

METHODS: Adult patients scheduled for LDH surgery were included in the study. Three skin swab cultures were taken when lying on the operating table (culture 1), after PVP-I application (culture 2), and at the end of the operation (culture 3). The effect of PVP-I and other independent predictors on skin culture was analyzed.
RESULTS: A total of 62 [28 (45%) female, mean age 47±13 years] patients were included. Only male sex and taking shower before the surgery have been found to be independent factors for affecting culture 1 growth while adjusted to age, body mass index, smoking, preoperative hospital stay, and surgery site shaving [OR (95% CI): 7.8 (1.4-41.9), p=0.016; OR (95% CI): 0.34 (0.003-0.35), p=0.005]. After PVP-I, the growth frequency of culture 2 decreased significantly compared to culture 1 [8 (13%) vs. 43 (70%), p<0.001]. However, culture 3 positivity rate was similar to culture 2 (p=0.219).
DISCUSSION AND CONCLUSION: In preoperative sterilization of lumbar disc surgery, PVP-I significantly reduces skin colonization both immediately after application and at the end of the operation.

Keywords: Povidone-iodine, antisepsis, lumbar disc surgery.

Abdurrahim Taş, Nur Aycan, Abdurrahman Aycan, İrfan Zengin, Mehmet Edip Akyol. Povidone-iodine antisepsis in lumbar disc surgery. Eastern J Med. 2022; 27(4): 549-551

Corresponding Author: Abdurrahim Taş, Türkiye
Manuscript Language: English
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