[Polyvinylpyrrolidone iodine in accident surgery].

Indications and contraindications of local application of PVP-iodine in accident surgery were obtained on account of own investigations and the study of literature. For disinfection aqueous solutions of PVP-iodine do not have a complete antimicrobial spectrum. Only alcoholic PVP-iodine-solutions have complete spectra. Using alcoholic PVP-iodine-solutions to disinfect usually hands for surgery or hygiene the resorption of iodine is evident. This may cause disturbances of the thyroid gland. Disinfecting the area of surgery in one patient the resorption of iodine is tolerable. In contrary PVP-iodine today is needed for antisepsis especially in purulent situations. Additionally PVP-iodine is still the antiseptic of choice in the treatment of burn injuries. But because of the resorption of iodine the danger of hyperthyroidism in the group of patients with high risk must be kept in mind. Contraindications for the antiseptic therapy with PVP-iodine result from the investigations concerning the cytotoxicity and resorption of iodine. The application of PVP-iodine to rinsing fluids during aseptic operations, in the treatment of peritonitis or in suction drainages are not recommended any more.