Kurush Basami, Zahra Mahdavi, Malahat Nikravan Mofrad, Hamidreza Kohestani, Nayyereh Baghcheghi,
Volume 11, Issue 2 (6-2008)
Abstract
Introduction: Urinary tract infection is one of the most common nosocomial infections that mainly occur after instrumentation in urinary tract, particularly after urinary catheterization. This study was conducted to assess disinfection's effects of meatus and urinary catheter with 10% Povidone Iodine ointment on incidence of bacteriuria in hospitalized patients of neurological unit of Shohadaye Tajrish hospital in iran. Methods and Materials: This study , is a randomized clinical trail which is done on Seventy stroke's patients that were catheterized by urologic expert's selected on convenience sampling and randomly divided to tow groups (Experimental group: 35 patients, Control group: 35 patients). In the experimental group, meatus and catheter drainage tube junction were disinfected daily and spigot was disinfected tow times a day by PVP10% ointment. In the control group the cares were done by normal saline. In days: 2,5,8,11,14 a urine sample was sent to lab for culture. The maximum period of study was 14 days. Results: Incidence of bacteriuria in experimental and control groups were 20% and 42.9%, respectively. Relative risk was 2.14. In patients with positive urine cultures: puri was 85.7% in experimental group and 86.6% in control group. Clinical symptoms of UTI were seen in 28.6% in experimental group and 33.3% in control group. Conclusion: This study showed that application of povidone-iodine 10% ointment for disinfection meatus and catheter drainage tube junction is effective to prevent catheter-associated urinary tract infection in male patients.
Khalilolah Nazem, Arsalan Mahmoudian,
Volume 12, Issue 4 (2-2010)
Abstract
Background: The effectivity of applying antiseptics in preparation of the operative site on the reduction of post-operative infections is not quite clear and controversies exist about the best method for doing this. The aim of this study is to compare the traditional two-stage method of first, washing the site with povidone iodine scrub and then painting with aqueous povidone iodine with the method of washing the site only with povidone iodine scrub. Materials and Methods: In this retrospective study, patients who had been under knee arthroscopy in 2 separate hospitals by the same surgeon were compared with regard to post operative infection. In one hospital, the operative site was only washed with povidone iodine scrub, while in the other hospital this same procedure was followed by painting with aqueous povidone iodine. The primary goal of this study was to identify the patients who had manifested clinical and laboratory signs of superficial or deep infection or septic arthritis one month postoperatively. Results: A total 300 patients were studied in two equal groups. All the patients had only been under diagnostic or curative non-bony operations. No superficial or deep infection or septic arthritis were seen in any of the patients in the two groups. Conclusion: Preoperative preparation of the knee with povidone iodine scrub is a safe method for prevention of infection and can be used instead of the common two-stage method of using povidone iodine scrub and then painting with aqueous povidone iodine since this can decrease the time and cost of surgery.
