J Korean Assoc Maxillofac Plast Reconstr Surg.  2003 Mar;25(2):161-165.

Clinical comparison of antibacterial effect of skin disinfectants used in surgical field of orthognathic surgical patients:povidone-iodine and chlorhexidine

• Uhm KH
• Han SW
• You JY
• Yang BE
• Kim YK

Abstract

For prevention of bacteremia and surgical field contamination, various disinfectants with various concentration are used in preoperative skin preparation. Of these, povidone(PVP)-iodine has been known as one having believable effect. But, application of PVP-I on oral and maxillofacial field has some problems - skin discoloration, hypersensitivity, corneal irritation, etc.. Therefore chlorhexidine has been tried to replace PVP-I. More recent studies of antibacterial effect of chlorhexidine and PVP-I has been achieved on the other field. The purpose of this study was to compare the antibacterial effect of two kinds of skin disinfectants used in oral and maxillofacial surgical field. - chlorhexidine and PVP-I. We studied the 40 patients who have taken operation of orthognathic surgery in Dept. of Oral and Maxillofacial Surgery, Kangnam General Hospital Public Corp.. Results of bacterial culture taken from facial skin and intraoral mucosa after application 10% PVP-I and 0.5% chlorhexidine were compared.

Keyword

Disinfectants; Povidone-iodine; Chlorhexidine; Orthognathic surgery

MeSH Terms

Bacteremia
Chlorhexidine*
Disinfectants*
Hospitals, General
Humans
Hypersensitivity
Mucous Membrane
Orthognathic Surgery
Povidone-Iodine
Skin*
Surgery, Oral
Chlorhexidine
Disinfectants
Povidone-Iodine