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Antiseptic Skin Preparation for Preventing Surgical Site Infection at Caesarean Section

Open Journal of Obstetrics and Gynecology 2016年第4期6卷 246-251页

作者： Olufemi Aworinde Kehinde Olufemi-Aworinde Akintunde Fehintola Babalola Adeyemi musliudin owonikoko Adewale Samson Adeyemi Department of Obstetrics and Gynaecology LAUTECH Teaching Hospital Ogbomoso Nigeria Department of Haematology and Blood Transfusion Bowen University Teaching Hospital Ogbomoso Nigeria Department of Obstetrics and Gynaecology Bowen University Teaching Hospital Ogbomoso Nigeria Department of Obstetrics and Gynaecology Obafemi Awolowo University Teaching Hospital Ile-Ife Nigeria

Purpose: To compare the effect of chlorhexidine-alcohol and povidone iodine on surgical site infection (SSI) after caesarean section. Methodology: A randomized control trial of 374 patients (188 in the chlorhexidine-alcohol group and 186 in the povidone iodine group) who had elective caesarean section with no overt risk for SSI was done. Patients were followed up until thirty days after delivery to assess for symptoms and signs of SSI. Results: Fifty-one (13.6%) of the study population developed SSI. Although the incidence of SSI was lower in the chlorhexidine-alcohol group than the povidone iodine group (12.2% vs. 15.1%;p = 0.26);the difference was not statistically significant. The incidence of adverse skin reaction in Chlorhexidine-alcohol vs. povidone iodine was also not statistically significant (4.0% vs. 5.4%;p = 0.40). Conclusion: The study demonstrates that there was no statistically significant difference in antiseptic property and side effect profile of chlorhexidine-alcohol and povidone-iodine when used as skin antisepsis in caesarean section.

关键词： Antisepsis Infection Chlorhexidine Povidone Iodine Caesarean Section

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