Dewan P A, Van Rij A M, Robinson R G, Skeggs G B, Fergus M
Department of Surgery, University of Otago Medical School, Dunedin, New Zealand.
Aust N Z J Surg. 1987 Nov;57(11):859-63. doi: 10.1111/j.1445-2197.1987.tb01281.x.
A prospective randomized clinical trial comparing the use of a new iodophor-impregnated incise drape with a standard skin preparation technique in 1102 patients undergoing abdominal surgical procedures is reported. The effect of the incise drape on wound bacterial contamination and subsequent wound infections is compared. The iodophor-impregnated plastic incise drape reduced the contamination of the wound. In particular, isolates of normal skin organisms were less frequent when the drape was used in clean and clean contaminated procedures. However, no difference was found between the wound infection rates for the patients on whom the iodophor drape was used and those patients on whom the drape was not used.
报道了一项前瞻性随机临床试验,该试验比较了1102例接受腹部外科手术的患者使用新型碘伏浸渍切口单与标准皮肤准备技术的情况。比较了切口单对伤口细菌污染及随后伤口感染的影响。碘伏浸渍塑料切口单减少了伤口污染。特别是,在清洁和清洁-污染手术中使用该切口单时,正常皮肤菌群的分离株出现频率较低。然而,使用碘伏切口单的患者与未使用该切口单的患者之间的伤口感染率未发现差异。