VIDEO: Iodine povacrylex in alcohol preferred for antisepsis of closed fracture surgery
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Key takeaways:
- Iodine povacrylex in alcohol may be the preferred skin antisepsis during closed fracture surgery vs. chlorhexidine gluconate.
- Iodine povacrylex in alcohol resulted in fewer surgical site infections.
In this video, Gerard P. Slobogean, MD, MPH, discussed the use of iodine povacrylex in alcohol as a preoperative skin antisepsis to prevent surgical site infection for patients undergoing closed fracture surgery.
Slobogean and investigators from the Program of Randomized Trials to Evaluate Preoperative Antiseptic Skin Solutions in Orthopedic Trauma (PREP-IT) compared outcomes of iodine povacrylex in alcohol for antisepsis vs. chlorhexidine gluconate in alcohol.
Researchers found iodine povacrylex in alcohol resulted in fewer surgical site infections compared with chlorhexidine gluconate in alcohol.
“We believe that, based on the results of the trial, one should be using iodine povacrylex for closed fracture surgery,” Slobogean said. “You can use whatever you want for open fracture surgery, but we certainly know that from a policy perspective, it may be simpler to implement just one antiseptic for all your fracture surgeries,” he added.
Slobogean noted that these results may be transferrable to other surgeries, such as arthroplasty, spine or general surgeries.
“I’d like to thank all the PREP-IT investigators that made the trial happen,” he concluded.
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