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

dc.contributor.authorYentur E.A.
dc.contributor.authorLuleci N.
dc.contributor.authorTopcu I.
dc.contributor.authorDegerli K.
dc.contributor.authorSurucuoglu S.
dc.date.accessioned2025-04-10T11:17:58Z
dc.date.available2025-04-10T11:17:58Z
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.urihttp://hdl.handle.net/20.500.14701/53094
dc.publisherW.B. Saunders
dc.titleIs skin disinfection with 10% povidone iodine sufficient to prevent epidural needle and catheter contamination?
dc.typeArticle

Files