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Povidone-iodine irrigation to prevent surgical wou 
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Dołączył: 13 Gru 2010
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PostWysłany: Czw 11:52, 10 Mar 2011  

Povidone-iodine irrigation to prevent surgical wound infection in appendectomy


Ge tail resection incision using o. Povidone-iodine irrigation (group A) and 242 cases of appendectomy incision using normal saline (Group B) Group data results of wound infection rate of 1.3 (3 / 239). 79 Conclusions B 0.5 povidone iodine washing can prevent wound infection incision Key words povidone iodine pre-fang appendicitis wound infection. . ---'~--- A ---- a -'--- a Division I since July 1995 ~ April 1998, with 0. j povidone-iodine (PVP-1) solution of 230 cases of appendectomy (Group A) pre-cut to wash well and fat wound infection +】 993 ~ l995 conducted in June with a saline flush of 242 cases of appendectomy incision resection (Group B) of the incision infection for comparison. Reported below. Clinical porcelain 1. General information: Group A 230 patients, 142 cases of male and 88 female, mean age 34.6 years; B 242 cases, 151 cases of male and female 91 cases. The average age of 36.2 years two Ge Mei Yan and pathological types in Table 12. Treatment: incision in Group A with Michael's 201 cases. Group B 208 patients, more than all right lower quadrant incision through the rectus abdominis operation two groups of patients according to normal operating procedures. Cut a slit Taiwan. Preoperative, intraoperative and postoperative intravenous ampicillin, metronidazole, or gentamicin or amikacin intraoperative perforation of the appendix with gangrene or peritonitis were treated with chronic peritoneal Mi saline irrigation drainage removal Jiapi After the end of peritoneal sewing table Kan. Group A patients were 0.5PVP-I solution with 20 ~ 50ml rinse well indwelling incision 1 to 2 minutes, then dry gauze Shi Jing. Regular joint sets strict incision after bleeding. 3. Results: Wound infection rates in Table l Table 1 Pathological types and two groups of appendicitis incision infection the number of pathological side countdown infection prevalence () of Group A simple 190o win total of 12,210.8 2303:3 B gangrene simple perforation 89,[link widoczny dla zalogowanych],222 126 863 23 143 suppurative gangrene of perforation 93lol a) of the total 2,421,979 of 8 units of sound: 3175il2 City,[link widoczny dla zalogowanych], Zhejiang Province, Wen Zhi second group drank the hospital has cut flush with saline. Step over the same】. PVP-1 significantly reduced flushing incision appendectomy incision infection rate: as A, B and two groups of patients in the surgical personnel,[link widoczny dla zalogowanych], conditions and methods basically the same. The patient's age, gender. The pathological type of appendicitis, the use of antibiotics and so on are the same or similar. Thus A and B two groups were comparable. The total wound infection rate was 7.9 B, with the domestic literature reports 8.8YoI similar. The Group is only 1.3. Therefore,[link widoczny dla zalogowanych], we believe PVP1 rinse solution can effectively prevent incision appendectomy incision infection 2. The role of PVP-I principles: PVP-1 is a strong bactericidal. Non-irritating disinfectant to the organization. Abbasog [nO experimental evidence. 1PVP1 after abdominal lavage solution in the peritoneal fluid leukocytes and bactericidal activity, polymorphonuclear leukocyte chemotaxis Dengjun increase. And no more changes with saline lavage with PVP-1 solution so as to cut incision may be washed WBC and local bactericidal activity strengthened. Thereby further reducing the possibility of wound infection following PVP-wash effect】: ① washing can significantly reduce the incision may be affected by the number of bacteria contamination} ② PVP-】 retention 1 to 2 minutes remaining cut the bacteria on a strong role in the killing} @ incisions may increase the number of local and strengthen the body's own cells would force the sterilization. We understand,[link widoczny dla zalogowanych], use ti5PVP-I wash appendectomy incision wound infection prevention method is simple. Results are obvious. No side effects. Does not increase the operation time. Is an ideal way to prevent wound infection


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