- Joined
- Jul 28, 2011
- Messages
- 640
- Reaction score
- 303
Is it imperative to wait the 3 minutes to dry before proceeding?
What about in a Stat c section situation? Betadine?
What about in a Stat c section situation? Betadine?
Yes, dry time is to prevent fire - has nothing to do with anti-microbial activity. Crash section gets betadine splash and slash at my shop. Interestingly enough, I can’t ever recall a crash section getting a wound infection.
Is it imperative to wait the 3 minutes to dry before proceeding?
What about in a Stat c section situation? Betadine?
yea i mean how often does a healthy person get an infection due to skin cuts? you fall and blood up your knees, do you get an infection? i hope not.
You’re right. Why the F’ have we been messing around with skin prep and periop ABX all these years
Our Gyns started this probably a year-ish ago. No problems so far.Gyn has literature saying that if they are just going into the peritoneal cavity without going into the uterus they don't need periop antibiotics. They still prep the skin but don't want to give ancef before sticking those laparoscopy ports in.
betadine disinfects as it dries, so for antisepsis you need to coat the surface and then wait for the betadine to dry before proceeding.
Gyn has literature saying that if they are just going into the peritoneal cavity without going into the uterus they don't need periop antibiotics. They still prep the skin but don't want to give ancef before sticking those laparoscopy ports in.
Good point. Could be that we were all taught to let it dry simply as a way of making sure enough time elapsed for it to do its job.Is that really true? I know it's what I've been told for 20+ years but ...
Iodine kills in a couple ways. It's in a hyperosmolar solution that sucks water out of cells and kills by dessication ("dries" out bacteria). Halogens also have some effects on DNA synthesis and direct oxidative effects. Iodine specifically enters cells and binds to proteins and nucleotides causing destruction and death. All of this takes time, which passes while we sit around waiting for it to dry.
But none of this relies on on the vehicle it arrives in being "not wet" ...
I’m aware of that and some of our GYNs do that too but it makes no sense to me. The point of Ancef is to kill skin flora, not uterine flora. Why do all other surgical specialties want Ancef (and have literature) showing it reduces infection??