International Journal of Obstetrics and Gynecology

International Journal of Obstetrics and Gynecology ISSN: 2326-7234 Vol. 2 (3), pp. 045-051, March, 2014. © International Scholars Journals

Full Length Research Paper

Evaluation of povidone Iodine 10% versus 7.5% hand scrub in cesarean section wound infections: A prospective trial

Ahmed Yehia Abdel Badee,* Mohammed Khairy Ali, Ahmed Mohammed Abbas and Sherif Abd-Elkarim Mohammed Shazly

Woman's Health Center, Assiut University, Assiut, Egypt.

*Corresponding author. E-mail: aboyehia@yahoo.com

Accepted 10 October, 2013

Abstract

Evaluate the efficiency of hand scrubbing by povidone-Iodine solution 10% over 7.5% concentration in decreasing post-cesarean section wound infections. Applying a double blinded randomized controlled trial, the surgical team in maternity ward of Assiut University Woman’s Health Center scrubbed using povidone-Iodine solution 10% before doing 1574 cesarean sections and by 7.5% before doing 1657 cesarean sections. The number of surgical site infection (post cesarean sections septic wounds) and adverse effects of the scrubbing solution occurring to surgical team members were recorded and compared in both groups. A total of 3231 women were included in the study in 2 groups (povidone-Iodine solution 10% before cesarean sections n= 1574, povidone-Iodine solution 7.5% before cesarean sections n=1657). Post cesarean sections septic wounds occurred with povidone-Iodine solution 10% (n=3) less than with 7.5% (n=12, P = 0.026). While contact dermatitis occurred with povidone-Iodine solution 10% (n=6) more than with 7.5% (n=2, P = 0.136). Povidone-Iodine solution 10% is more efficient than 7.5% as a hand scrub in terms of less post cesarean section septic wounds but it causes more contact dermatitis.

Key words: Betadine, povidone Iodine, hand scrubbing, cesarean section wound infections, hygiene.