Iodine-impregnated incision drapes in spine surgery: impact on surgical site infection

Authors

  • Eliane Carlosso Krummenauer Programa Stricto Sensu em Promoção da Saúde - UNISC; Hospital Santa Cruz, Santa Cruz do Sul - RS https://orcid.org/0000-0002-8824-4573
  • Jane Dagmar Pollo Renner Programa Stricto Sensu em Promoção da Saúde e dos Departamentos de Ciências da Saúde e Ciências da Vida, Universidade de Santa Cruz do Sul – RS
  • Rochele Mosmann Menezes Programa Stricto Sensu em Promoção da Saúde - UNISC; Hospital Santa Cruz, Santa Cruz do Sul - RS
  • Telmo Tiburcio Fortes Lima Hospital Santa Cruz, Santa Cruz do Sul - RS
  • Marcelo Carneiro Programa Stricto Sensu em Promoção da Saúde - UNISC; Hospital Santa Cruz, Santa Cruz do Sul - RS

DOI:

https://doi.org/10.5327/Z1414-4425202100030004

Keywords:

Campos Cirúrgicos, Coluna Vertebral, Infecção da Ferida Cirúrgica, Prevenção & Controle, Produtos com Ação Antimicrobiana.

Abstract

Objective: To evaluate the impact of iodine-impregnated incision drapes (IIIDs) to prevent surgical site infection (SSI) in the spine. Method:
Retrospective cohort study comparing SSI outcome in patients in which IIIDs were and were not used, from 2015 to 2019. Results: The overall frequency
of SSI was 16.7%, with SSI rate among patients using and not using IIIDs of 40% and 60%, respectively; p = 0.728; 95% confidence interval (95%CI) 0.19–
3.11. Normothermia was the only independent protective factor for SSI (p = 0.043). The treatment of infectious complications resulted in hospital costs
increase of 83.6% each day of care. Patients who were treated with IIIDs stayed 10 days less (± 4.9) in hospital. Conclusions: The results suggest that the
use of IIIDs was not associated with a lower risk of SSI. These data can be useful for surgical planning and patient safety.

Author Biographies

Eliane Carlosso Krummenauer, Programa Stricto Sensu em Promoção da Saúde - UNISC; Hospital Santa Cruz, Santa Cruz do Sul - RS

Mestrado em Promoção da Saúde, - UNISC; Enfermeira, Hospital Santa Cruz, Infectologia

Jane Dagmar Pollo Renner, Programa Stricto Sensu em Promoção da Saúde e dos Departamentos de Ciências da Saúde e Ciências da Vida, Universidade de Santa Cruz do Sul – RS

Farmacêutica bioquímica, Doutora em biologia celular e molecular, Professora do Programa Stricto Sensu em Promoção da Saúde e dos Departamentos de Ciências da Saúde e Ciências da Vida, Universidade de Santa Cruz do Sul – RS

Rochele Mosmann Menezes, Programa Stricto Sensu em Promoção da Saúde - UNISC; Hospital Santa Cruz, Santa Cruz do Sul - RS

Farmacêutica Clínica, Mestranda do Programa Stricto Sensu em Promoção da Saúde – Universidade de Santa Cruz do Sul; Comissão de Controle de Infecção e Epidemiologia Hospitalar – Hospital Santa Cruz, RS 

Telmo Tiburcio Fortes Lima, Hospital Santa Cruz, Santa Cruz do Sul - RS

Médico Neurocirurgião. Hospital Santa Cruz, Santa Cruz do Sul -  RS

Marcelo Carneiro, Programa Stricto Sensu em Promoção da Saúde - UNISC; Hospital Santa Cruz, Santa Cruz do Sul - RS

Médico Infectologista, Doutor em medicina e pós doutorando em Educação pela Universidade de Santa Cruz do Sul, Professor do Programa Stricto Sensu em Promoção da Saúde e dos Departamentos de Ciências da Saúde e Ciências da Vida, Universidade de Santa Cruz do Sul – RS 

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Published

2021-10-13

How to Cite

Krummenauer, E. C., Renner, J. D. P., Menezes, R. M., Lima, T. T. F., & Carneiro, M. (2021). Iodine-impregnated incision drapes in spine surgery: impact on surgical site infection. Revista SOBECC, 26(3). https://doi.org/10.5327/Z1414-4425202100030004

Issue

Section

ORIGINAL ARTICLES