The Effect of Surgical Scrub in Orthopaedic Surgery.
10.4055/jkoa.2014.49.1.36
- Author:
Ho Jin CHANG
1
;
Jun Ho NAM
;
Dong Young KIM
;
Hee Soo KIM
;
Sung Hyun PARK
;
Sang Wook LEE
;
Tae Hoon KIM
;
Myung Rae CHO
Author Information
1. Department of Orthopaedic Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea. cmr0426@cu.ac.kr
- Publication Type:Original Article
- Keywords:
surgical scrub;
povidone-iodine;
povidone iodine+Softa-Man(R);
bacterial growth inhibition
- MeSH:
Anti-Infective Agents, Local;
Bacteria;
Daegu;
Gram-Positive Cocci;
Humans;
Povidone-Iodine
- From:The Journal of the Korean Orthopaedic Association
2014;49(1):36-42
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Two antiseptic solutions were investigated for their effect on bacterial growth inhibition. MATERIALS AND METHODS: A total of 38 patients were included in this study, who visited Daegu Catholic Medical Center from August 2, 2011 to September 2, 2011. Bacterial culture was performed at the pre-scrub, post-scrub, and postoperation; patients were divided into two groups according to use of povidone iodine (3.75%) and povidone iodine with Softa-Man(R) as antiseptic agents at the surgical. RESULTS: Comparison between the antiseptic solutions showed a significant difference for the presence of gram positive cocci (p=0.034), however, no difference was observed for the presence of gram positive bacilli (p=0.838). As the scrub time increased, the positive detection ratio of bacteria decreased (p=0.000), and decreased significantly at more than 120 seconds. However, positive detection ratio of bacteria increased significantly at more than 300 seconds in cases with povidone iodine only (p=0.014). Glove wearing time did not have a significant influence on the positive detection ratio of bacteria, and no significant difference was observed between the antiseptic solutions (p=0.143). CONCLUSION: Considering the positive detection ratio of bacteria when using povidone iodine only, the appropriate scrub time should be between 4 and 5 minutes. When using both antiseptics, at least 2 minutes of scrub time is needed.
