KMID : 0361620140490010036
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Journal of the Korean Orthopaedic Association 2014 Volume.49 No. 1 p.36 ~ p.42
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The Effect of Surgical Scrub in Orthopaedic Surgery
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Chang Ho-Jin
Nam Jun-Ho Kim Dong-Young Kim Hee-Soo Park Sung-Hyun Lee Sang-Wook Kim Tae-Hoon Cho Myung-Rae
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Abstract
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Purpose: Two antiseptic solutions were investigated for their effect on bacterial growth inhibition.
Materials and Methods: A total of 38 patients were included in this study, who visited Daegu Catholic Medical Center from August 2, 2011 to September 2, 2011. Bacterial culture was performed at the pre-scrub, post-scrub, and postoperation; patients were divided into two groups according to use of povidone iodine (3.75%) and povidone iodine with Softa-Man¢ç as antiseptic agents at the surgical.
Result: Comparison between the antiseptic solutions showed a significant difference for the presence of gram positive cocci (p=0.034), however, no difference was observed for the presence of gram positive bacilli (p=0.838). As the scrub time increased, the positive detection ratio of bacteria decreased (p=0.000), and decreased significantly at more than 120 seconds. However, positive detection ratio of bacteria increased significantly at more than 300 seconds in cases with povidone iodine only (p=0.014). Glove wearing time did not have a significant influence on the positive detection ratio of bacteria, and no significant difference was observed between the antiseptic solutions (p=0.143).
Conclusion: Considering the positive detection ratio of bacteria when using povidone iodine only, the appropriate scrub time should be between 4 and 5 minutes. When using both antiseptics, at least 2 minutes of scrub time is needed.
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KEYWORD
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surgical scrub, povidone-iodine, povidone iodine+Softa-Man¢ç, bacterial growth inhibition
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