术中使用聚维酮碘冲洗以预防感染。
Intraoperative povidone-iodine irrigation for infection prevention.
作者信息
Goswami Karan, Austin Matthew S
机构信息
Rothman Institute of Orthopaedics, Thomas Jefferson University, Philadelphia, PA, USA.
出版信息
Arthroplast Today. 2019 May 22;5(3):306-308. doi: 10.1016/j.artd.2019.04.004. eCollection 2019 Sep.
Abstract
Although prevention of infection following arthroplasty requires a multifaceted approach, the use of intraoperative irrigation is an important component of any protocol. Recent clinical practice guidelines from the Centers for Disease Control, World Health Organization, and International Consensus Meeting on Musculoskeletal Infection advocate the use of a dilute povidone-iodine solution prior to wound closure. Our experience suggests that this practice is safe, inexpensive, and easily implemented. The present article describes our institutional irrigation protocol and reviews the current literature regarding povidone-iodine solutions.
摘要
虽然关节置换术后感染的预防需要多方面的措施，但术中冲洗的应用是任何方案的重要组成部分。美国疾病控制中心、世界卫生组织以及国际肌肉骨骼感染共识会议近期发布的临床实践指南提倡在伤口闭合前使用稀释的聚维酮碘溶液。我们的经验表明，这种做法安全、经济且易于实施。本文介绍了我们机构的冲洗方案，并综述了目前关于聚维酮碘溶液的文献。
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