Effect of Povidone- Iodine dressings on surgical site infection rate: A Randomised Controlled Trial
Association of Breast Surgery ePoster Library. In Lim L. 05/13/19; 257105; P061
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P061
Topic: Breast surgery
Introduction: The incidence of infection after breast cancer surgery is low. However, any infection can delay adjuvant treatment. The aim of the study was to compare povidone iodine dressing against dry dressing for rates of infection and delay in wound healing. Methods :A single centre, double blinded, randomised controlled trial was carried out between October 2014 and May 2015. Patients undergoing breast cancer surgery were included in this study. Exclusion criteria were diabetic or immunocompromised patients, patients on oral steroids, those who had neo-adjuvant chemotherapy, an allergy to iodine or were undergoing immediate breast reconstruction. Patients were randomised into two groups: Group 1 had their wound dressed with steristrips, dry blue gauze and clear water-proof dressing; group 2 had the same dressing with the blue gauze soaked in povidone iodine. Envelope randomisation was carried out by nursing staff and the dressing applied after the surgeon had left theatre. Patients were followed up 2 to 4 weeks following surgery. Results:56 patients were enrolled in the study; 28 patients in each arm following randomisation.1 out of the 28 patients (3.57%) who had dry dressing had a wound infection that resolved with antibiotics only. No patients who had povidone iodine dressing had a wound infection. There was no delay in wound healing in either group. Conclusion:There appears to be no significant advantage of one type of dressing over the other. Further studies with larger numbers needs to be carried out.
Topic: Breast surgery
Introduction: The incidence of infection after breast cancer surgery is low. However, any infection can delay adjuvant treatment. The aim of the study was to compare povidone iodine dressing against dry dressing for rates of infection and delay in wound healing. Methods :A single centre, double blinded, randomised controlled trial was carried out between October 2014 and May 2015. Patients undergoing breast cancer surgery were included in this study. Exclusion criteria were diabetic or immunocompromised patients, patients on oral steroids, those who had neo-adjuvant chemotherapy, an allergy to iodine or were undergoing immediate breast reconstruction. Patients were randomised into two groups: Group 1 had their wound dressed with steristrips, dry blue gauze and clear water-proof dressing; group 2 had the same dressing with the blue gauze soaked in povidone iodine. Envelope randomisation was carried out by nursing staff and the dressing applied after the surgeon had left theatre. Patients were followed up 2 to 4 weeks following surgery. Results:56 patients were enrolled in the study; 28 patients in each arm following randomisation.1 out of the 28 patients (3.57%) who had dry dressing had a wound infection that resolved with antibiotics only. No patients who had povidone iodine dressing had a wound infection. There was no delay in wound healing in either group. Conclusion:There appears to be no significant advantage of one type of dressing over the other. Further studies with larger numbers needs to be carried out.
P061
Topic: Breast surgery
Introduction: The incidence of infection after breast cancer surgery is low. However, any infection can delay adjuvant treatment. The aim of the study was to compare povidone iodine dressing against dry dressing for rates of infection and delay in wound healing. Methods :A single centre, double blinded, randomised controlled trial was carried out between October 2014 and May 2015. Patients undergoing breast cancer surgery were included in this study. Exclusion criteria were diabetic or immunocompromised patients, patients on oral steroids, those who had neo-adjuvant chemotherapy, an allergy to iodine or were undergoing immediate breast reconstruction. Patients were randomised into two groups: Group 1 had their wound dressed with steristrips, dry blue gauze and clear water-proof dressing; group 2 had the same dressing with the blue gauze soaked in povidone iodine. Envelope randomisation was carried out by nursing staff and the dressing applied after the surgeon had left theatre. Patients were followed up 2 to 4 weeks following surgery. Results:56 patients were enrolled in the study; 28 patients in each arm following randomisation.1 out of the 28 patients (3.57%) who had dry dressing had a wound infection that resolved with antibiotics only. No patients who had povidone iodine dressing had a wound infection. There was no delay in wound healing in either group. Conclusion:There appears to be no significant advantage of one type of dressing over the other. Further studies with larger numbers needs to be carried out.
Topic: Breast surgery
Introduction: The incidence of infection after breast cancer surgery is low. However, any infection can delay adjuvant treatment. The aim of the study was to compare povidone iodine dressing against dry dressing for rates of infection and delay in wound healing. Methods :A single centre, double blinded, randomised controlled trial was carried out between October 2014 and May 2015. Patients undergoing breast cancer surgery were included in this study. Exclusion criteria were diabetic or immunocompromised patients, patients on oral steroids, those who had neo-adjuvant chemotherapy, an allergy to iodine or were undergoing immediate breast reconstruction. Patients were randomised into two groups: Group 1 had their wound dressed with steristrips, dry blue gauze and clear water-proof dressing; group 2 had the same dressing with the blue gauze soaked in povidone iodine. Envelope randomisation was carried out by nursing staff and the dressing applied after the surgeon had left theatre. Patients were followed up 2 to 4 weeks following surgery. Results:56 patients were enrolled in the study; 28 patients in each arm following randomisation.1 out of the 28 patients (3.57%) who had dry dressing had a wound infection that resolved with antibiotics only. No patients who had povidone iodine dressing had a wound infection. There was no delay in wound healing in either group. Conclusion:There appears to be no significant advantage of one type of dressing over the other. Further studies with larger numbers needs to be carried out.
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