Tosti Rick, Iorio Justin, Fowler John R, Gaughan John, Thoder Joseph J, Schaffer Alyssa A
Department of Orthopaedic Surgery and Sports Medicine, and the Biostatistics Consulting Center, Temple University School of Medicine, Philadelphia, PA; Department of Orthopaedics, University of Pittsburgh, Pittsburgh, PA.
Department of Orthopaedic Surgery and Sports Medicine, and the Biostatistics Consulting Center, Temple University School of Medicine, Philadelphia, PA; Department of Orthopaedics, University of Pittsburgh, Pittsburgh, PA.
J Hand Surg Am. 2014 May;39(5):962-5. doi: 10.1016/j.jhsa.2014.01.036. Epub 2014 Mar 11.
To determine the effect of povidone-iodine soaks on outcomes of hand infections after operative drainage.
We performed a single-center, prospective, randomized trial to evaluate 100 consecutive hand infections. Forty-nine patients received povidone-iodine soaks 3 times daily, and 51 patients received only daily dressing changes. Outcome measures were the number of operations, readmissions, reoperations for wound complications, and days spent in the hospital.
Patients treated with povidone soaks averaged 1.6 operations, and patients treated with daily dressing changes averaged 1.4 operations, a statistically insignificant difference. The mean number of operations was also not different between groups for the dorsal hand or dorsal finger abscess subcategories. No significant differences were found in length of stay, number of readmissions, or number of reoperations for wound complications.
Povidone-iodine soaks are not helpful in the postoperative management of hand infections
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic II.
确定聚维酮碘浸泡对手部感染手术引流后结局的影响。
我们进行了一项单中心、前瞻性、随机试验，以评估100例连续性手部感染患者。49例患者每天接受3次聚维酮碘浸泡，51例患者仅每天更换敷料。结局指标包括手术次数、再入院次数、因伤口并发症进行的再次手术次数以及住院天数。
接受聚维酮浸泡治疗的患者平均进行1.6次手术，接受每日更换敷料治疗的患者平均进行1.4次手术，差异无统计学意义。在手背或手指背侧脓肿亚组中，两组的平均手术次数也无差异。在住院时间、再入院次数或因伤口并发症进行的再次手术次数方面未发现显著差异。
聚维酮碘浸泡对手部感染的术后管理无帮助。
研究类型/证据水平：治疗性II级。
