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Published in: Archives of Orthopaedic and Trauma Surgery 9/2011

01-09-2011 | Orthopaedic Surgery

Prevention of post-operative infections in spine surgery by wound irrigation with a solution of povidone–iodine and hydrogen peroxide

Authors: Simone Ulivieri, Stefano Toninelli, Carlo Petrini, Antonio Giorgio, Giuseppe Oliveri

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2011

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Abstract

Introduction

Starting from January 2009, we systematically irrigated the surgical wounds of patients undergoing spine surgery with a solution of povidone–iodine (PVP–I) and hydrogen peroxide (H2O2).

Method

We prospectively recorded the clinical data of patients who underwent spine surgery during 2009 and we compared the results with retrospectively reviewed clinical records of patients operated during 2008. Patients were analyzed for preoperative risk factors, type of surgical procedure, onset of the infection, clinical presentation, treatment, and outcome. We performed 460 spine surgeries during 2008 and 490 during 2009.

Results

We recorded seven post-operative infections in 2008 compared to none in 2009.

Conclusion

We consider the solution of PVP–I plus H2O2 effective in further reducing the rate of post-operative infection in spine surgery.
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Metadata
Title
Prevention of post-operative infections in spine surgery by wound irrigation with a solution of povidone–iodine and hydrogen peroxide
Authors
Simone Ulivieri
Stefano Toninelli
Carlo Petrini
Antonio Giorgio
Giuseppe Oliveri
Publication date
01-09-2011
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 9/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-011-1262-0

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