Is skin disinfection with 10% povidone iodine sufficient to prevent epidural needle and catheter contamination?

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dc.contributor.authorYentur E.A.
dc.contributor.authorLuleci N.
dc.contributor.authorTopcu I.
dc.contributor.authorDegerli K.
dc.contributor.authorSurucuoglu S.
dc.date.accessioned2024-07-22T08:25:06Z
dc.date.available2024-07-22T08:25:06Z
dc.date.issued2003
dc.description.abstractBackground and Objectives: Epidural space infection is a potential complication of epidural catheter placement. In this study, we investigated the incidence of epidural needle and catheter contamination after skin surface disinfection with 10% povidone-iodine (PI). Methods: Sixty seven patients having surgery under epidural anesthesia were enrolled in this prospective study. After preparation with 10% PI, skin swab cultures were taken from the site of catheter insertion. Epidural needles were cultured immediately after epidural catheters were placed. Catheters were removed at 48 hours and 2 to 3 cm of the distal tips were cultured as well. Results: Fifty-six skin swabs, 52 epidural needles, and 48 catheters were cultured. Although only 3.5% (2) colonization was observed on skin surface cultures, 34.6% (18) of the epidural needles and 45.8% (22) of the catheters were colonized. No systemic or local infection was observed. Conclusion: Our results suggest that despite skin surface disinfection with PI, there is still significant risk for contamination of needles and catheters during epidural catheterization.
dc.identifier.DOI-ID10.1016/j.rapm.2003.08.002
dc.identifier.issn10987339
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/20270
dc.language.isoEnglish
dc.publisherW.B. Saunders
dc.subjectbatticon
dc.subjectbupivacaine
dc.subjectcefazolin
dc.subjectcefotaxime
dc.subjectceftazidime
dc.subjectfentanyl
dc.subjectpovidone iodine
dc.subjecttopical antiinfective agent
dc.subjectunclassified drug
dc.subjectadult
dc.subjectarticle
dc.subjectbacterial colonization
dc.subjectcatheter
dc.subjectcatheterization
dc.subjectclinical trial
dc.subjectdisinfection
dc.subjectepidural anesthesia
dc.subjectepidural space
dc.subjectequipment
dc.subjecthuman
dc.subjectincidence
dc.subjectinfection
dc.subjectinstrumentation
dc.subjectmajor clinical study
dc.subjectmethodology
dc.subjectmicrobiology
dc.subjectneedle
dc.subjectpriority journal
dc.subjectprospective study
dc.subjectskin
dc.subjectskin culture
dc.subjectskin decontamination
dc.subjectStaphylococcus epidermidis
dc.titleIs skin disinfection with 10% povidone iodine sufficient to prevent epidural needle and catheter contamination?
dc.typeArticle

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