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Effectiveness and acceptability of intranasal povidone-iodine decolonization among fracture fixation surgery patients to reduce Staphylococcus aureus nasal colonization

Published online by Cambridge University Press:  15 June 2022

Marin L. Schweizer Open the ORCID record for Marin L. Schweizer [Opens in a new window] ,
Loreen A. Herwaldt ,
Linda Boyken ,
Jean Pottinger ,
Rachel Quinn ,
Daniel J. Diekema ,
Fiona Armstrong-Pavlik Open the ORCID record for Fiona Armstrong-Pavlik [Opens in a new window] ,
Melissa Ward Open the ORCID record for Melissa Ward [Opens in a new window] ,
Poorani Sekar Open the ORCID record for Poorani Sekar [Opens in a new window]  and
Michael C. Willey Open the ORCID record for Michael C. Willey [Opens in a new window]
Marin L. Schweizer*
Affiliation:
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa Center for Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, Iowa
Loreen A. Herwaldt
Affiliation:
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa
Linda Boyken
Affiliation:
Department of Pathology, University of Iowa Carver College of Medicine, Iowa City, Iowa
Jean Pottinger
Affiliation:
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa
Rachel Quinn
Affiliation:
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa Center for Access and Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, Iowa
Daniel J. Diekema
Affiliation:
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa
Fiona Armstrong-Pavlik
Affiliation:
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa
Melissa Ward
Affiliation:
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa
Poorani Sekar
Affiliation:
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa
Michael C. Willey
Affiliation:
Department of Orthopedics and Rehabilitation, University of Iowa Hospitals & Clinics, Iowa City, Iowa
*
Author for correspondence: Marin Schweizer, E-mail: [email protected]
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Abstract

We evaluated povidone-iodine (PVI) decolonization among 51 fracture-fixation surgery patients. PVI was applied twice on the day of surgery. Patients were tested for S. aureus nasal colonization and surveyed. Mean S. aureus concentrations decreased from 3.13 to 1.15 CFU/mL (P = .03). Also, 86% of patients stated that they felt neutral or positive about their PVI experience.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 6 , June 2023 , pp. 982 - 984
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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Footnotes

PREVIOUS PRESENTATION. This work was presented in part as a poster at the SHEA 2022 Annual Meeting on April 13, 2022, in Colorado Springs, Colorado (Poster Board Number: 305).

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