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. 2010 Sep 21;5(2):Doc08.
doi: 10.3205/dgkh000151.

Prevention of postoperative wound infections by covering the surgical field with iodine-impregnated incision drape (Ioban 2)

Axel Kramer  1 , Ojan Assadian, Jürgen Lademann
Affiliations

Prevention of postoperative wound infections by covering the surgical field with iodine-impregnated incision drape (Ioban 2)

Axel Kramer et al. GMS Krankenhhyg Interdiszip. .

Abstract
in English, German

The literature is used to analyse the significance of the use of iodine-impregnated incision drape (Ioban(®) 2) for the prevention of postoperative wound infections (SSI). The drape has a microbiocidal effect in vitro. Consequently an antiseptic effect also occurs under the incision drape when it is applied to the skin; at the same time, bacterial wound contamination is reduced. Overall, based on the efficacy strength of the antiseptic incision drape, a reduction of the SSI rate can, however, be confirmed only with a large sample size. A meta analysis which evaluated four prospective studies and one retrospective study was able to provide significant confirmation of a reduction in the SSI rate. There are no limitations in terms of the biocompatibility of the iodine-impregnated incision drape.

Anhand des Schrifttums wird die Bedeutung des Einsatzes von Iod-imprägnierter Inzisionsfolie (Ioban® 2) für die Prävention postoperativen Wundinfektionen (SSI) analysiert. Die Folie zeigt in in vitro eine mikrobiozide Wirksamkeit. Demzufolge kommt es auch bei Anwendung auf der Haut zu einer antiseptischen Wirkung unter der Inzisionsfolie, zugleich wird die bakterielle Wundkontamination verringert.

Insgesamt ist auf Grund der Effektstärke der antiseptischen Inzisionsfolie eine Reduzierung der SSI-Rate allerdings nur bei großem Stichprobenumfang zu sichern. In einer Meta-Analyse mit Auswertung von vier prospektiven und einer retrospektiven Studie konnte die Herabsetzung der SSI-Rate signifikant gesichert werden.

Bezüglich der Biokompatibilität der Iod-imprägnierten Inzisionsfolie gibt es keine Einschränkungen.

Keywords: Ioban 2; SSI rate; antiseptic efficacy; biocompatibility; iodine-impregnated incision drape; microbicidal activity.

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