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Abstract

Background: Deep wound infection is a serious complication of spinal surgery that can jeopardize patient outcomes and increase costs. Povidone iodine is a widely used antiseptic with bactericidal activity against a wide spectrum of pathogens, including methicillin-resistant Staphylococcus aureus.Objectives: To evaluate the efficacy of diluted betadine irrigation of spinal surgical wounds in prevention of postoperative wound infection. Patients and Methods: One hundred patients of both sex aged 25-65 years old were enrolled in this prospective study. The patients were randomized in to two equal groups. In group 1 (50 patients), surgical wounds were irrigated with diluted betadine solution (3.5% betadine) before wound closure. In group 2(50 patients), the wounds were not irrigated and serve as a control. Otherwise, perioperative management was the same for both groups.Results: Mean length of follow-up was 24 months in both groups (range, 12–24 months). No wound infection occurred in group 1. One superficial infection (2%) and six deep infections (12%) occurred in group 2.Conclusions: Diluted Betadine effectively prevents spinal surgery wound infection therefore it is recommended to use this simple and inexpensive antiseptic substance following spinal surgery.

Article Type

Article

First Page

180

Last Page

187

Rights

Copyright (c) 2017 AL-QADISIYAH MEDICAL JOURNAL

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