Fairclough J A, Johnson D, Mackie I
J Int Med Res. 1986;14(2):105-9. doi: 10.1177/030006058601400210.
Prior to preparing the skin for surgery, samples for bacterial growth were taken from 107 patients. The same site was sampled after preparation with povidone-iodine and at the end of surgical procedure the deep part of the wound was also sampled. This demonstrated that the wounds of 15% of patients became contaminated by organisms present on the skin prior to disinfection. A comparison was made with a further 122 patients undergoing hip surgery in whom an iodophor impregnated plastic adhesive drape ('Ioban') was applied to the operation site 24 hours prior to surgery. Bacterial sampling of the wound at the end of the procedure showed that wound contamination was reduced from 15% to 1.6% by this method. When patients are to have implant surgery, the protection from contamination by skin organisms afforded by 'Ioban' drape is likely to prove a valuable tool in the fight to prevent infection.
在为手术准备皮肤之前，从107名患者身上采集了用于细菌培养的样本。用聚维酮碘准备皮肤后，在同一部位再次采样，并且在手术结束时，还对伤口深部进行了采样。这表明，15%的患者伤口在消毒前被皮肤上存在的微生物污染。另外对122名接受髋关节手术的患者进行了比较，这些患者在手术前24小时在手术部位使用了含碘敷料的塑料粘性手术巾（“Ioban”）。手术结束时对伤口进行细菌采样显示，通过这种方法，伤口污染率从15%降至1.6%。当患者进行植入手术时，“Ioban”手术巾对皮肤微生物污染的防护作用可能会被证明是预防感染的一项有价值的工具。
