Does povidone-iodine application in surgical procedures help in the prevention of surgical site infections? An updated meta-analysis

Lihua Shi; Li Cai; Fen Wan; Yali Jiang; Rupshikha Choudhury; Sanjay Rastogi

doi:10.5114/wiitm.2021.112479

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

2/2022
vol. 17

Send email

Copy url:

General surgery

abstract:

Meta-analysis

Does povidone-iodine application in surgical procedures help in the prevention of surgical site infections? An updated meta-analysis

Lihua Shi

¹

,

Li Cai

¹

,

Fen Wan

¹

,

Yali Jiang

¹

,

Rupshikha Choudhury

²

,

Sanjay Rastogi

²

Operating Room, Liyang People’s Hospital, Changzhou, Jiangsu, China
Department of Oral and Maxillofacial Surgery, Regional Dental College, Guwahati, Assam, India

Videosurgery Miniinv 2022; 17 (2): 261–278

DOI: https://doi.org/10.5114/wiitm.2021.112479

Online publish date: 2022/01/09

View full text Get citation

PlumX metrics:

Introduction
A meta-analysis was conducted to determine the efficacy of preoperative or intraoperative use of PVI from randomized controlled trials (RCTs).

Material and methods
A systematic literature review was conducted using MEDLINE and Central databases for RCTs that involved PVI application versus saline or no treatment control groups across various surgical categories. The primary outcome was SSI or post-operative wound infections. A random-effects model was used to calculate the pooled risk ratio and subgroup analyses were performed.

Results
A total of 59 RCTs were included in the meta-analysis with information from 20,497 patients. A reduction in overall SSI incidence was found (RR = 0.70, 0.60–0.80, p = 0.0002, I2 = 44%). Subgroup analyses showed that the comparator treatment and type of procedure did not modify the effect of PVI on SSI incidence. However, inconsistent results on SSI incidence were obtained when the data were stratified by PVI application method and surgery category.

Conclusions
The results of the meta-analysis provide support for the preoperative or intraoperative use of PVI in decreasing the incidence of SSI.

keywords:

Does povidone-iodine application in surgical procedures help in the prevention of surgical site infections? An updated meta-analysis

Lihua Shi 1 , Li Cai 1 , Fen Wan 1 , Yali Jiang 1 , Rupshikha Choudhury 2 , Sanjay Rastogi 2

povidone iodine, surgical site infections, skin preparation, wound irrigation, normal saline

Lihua Shi

¹

,

Li Cai

¹

,

Fen Wan

¹

,

Yali Jiang

¹

,

Rupshikha Choudhury

²

,

Sanjay Rastogi

²