The study found that three minute diluted betadine lavage combined with painting of the skin with 10 percent betadine solution prior to surgical closure nearly eliminated early deep post-operation infection.
The researchers implemented a protocol for total hip and knee arthroplasty patients that included:
• Soaking the wound with diluted betadine solution for three minutes after the implantation of the prosthetic components
• After soaking the wound, pulsating lavage of normal saline without antibiotics
• Prior to final closure, applying betadine to the skin surrounding the incision
Acute post-operative deep infection was diagnosed in 18 out of the 1,862 cases performed prior to the initiation of the betadine lavage protocol. After initiation, the infection was reported in one of the 688 total joint arthroplasties. There was no side complications reported.
Read the Midwest Orthopaedics at Rush release about total joint replacement infection control.
Read other coverage on orthopedic infection control:
– 6 Best Practices for Implementing an Effective Infection Control Program
– 5 Tips for Improved Infection Control: Dr. Ralph Gambardella of Kerlan-Jobe Surgery Center
– Preoperative MRSA Screening and Colonization Could Save Money for Hospitals, Payors
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