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

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dc.contributor.authorYentur, EA
dc.contributor.authorLuleci, N
dc.contributor.authorTopcu, I
dc.contributor.authorDegerli, K
dc.contributor.authorSurucuoglu, S
dc.date.accessioned2024-07-18T11:49:10Z
dc.date.available2024-07-18T11:49:10Z
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.issn1098-7339
dc.identifier.other1532-8651
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/3807
dc.language.isoEnglish
dc.publisherBMJ PUBLISHING GROUP
dc.subjectBACTERICIDAL ACTIVITY
dc.subjectCOLONIZATION
dc.subjectINFECTION
dc.subjectBUPIVACAINE
dc.titleIs skin disinfection with 10% povidone iodine sufficient to prevent epidural needle and catheter contamination?
dc.typeArticle; Proceedings Paper

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