Zdeblick T A, Lederman M M, Jacobs M R, Marcus R E
Clin Orthop Relat Res. 1986 Dec(213):211-5.
One hundred one adult orthopedic surgical patients were studied in a randomized, prospective clinical trial to compare the effectiveness of the standard povidone-iodine scrub and paint with povidone-iodine painting alone for presurgical skin preparation. No infections occurred in either group. The scrub-plus-paint group showed a 0.601 logarithmic reduction in bacteria counts, compared with 0.622 with painting alone. Further, 36.8% of the patients in the scrub-plus-paint group had skin counts that actually increased after preparation, compared with 13.8% of patients in the paint-only group. The preparation bacterial counts among inpatients, who received preoperative hexachlorophene showers, were significantly lower than that of outpatients, who did not receive preoperative showers. The data support the use of the preoperative hexachlorophene shower and the omission of scrubbing from the surgical skin preparation technique.
在一项随机、前瞻性临床试验中，对101名成年骨科手术患者进行了研究，以比较标准聚维酮碘擦洗加涂抹与仅用聚维酮碘涂抹进行术前皮肤准备的效果。两组均未发生感染。擦洗加涂抹组的细菌计数对数减少了0.601，而仅涂抹组为0.622。此外，擦洗加涂抹组中有36.8%的患者在准备后皮肤细菌计数实际上增加了，而仅涂抹组为13.8%。接受术前六氯酚沐浴的住院患者的术前准备细菌计数显著低于未接受术前沐浴的门诊患者。这些数据支持术前使用六氯酚沐浴，并在手术皮肤准备技术中省略擦洗步骤。
