Abstract
The use of antiseptics in theatre is mainstay treatment in reducing cutaneous bioburden and, in turn, preventing surgical site infection and sepsis. Typically, aqueous betadine and chlorhexidine in alcohol are preferred. Aqueous betadine is a broad-spectrum antiseptic with a quick kill rate but is deactivated by organic material on the patient's skin. More effective than aqueous betadine is chlorhexidine gluconate - it is also a broad-spectrum antiseptic but is not deactivated by organic compounds on the patient's skin.
Highlights
The use of antiseptics in theatre is mainstay treatment in reducing cutaneous bioburden1 and, in turn, preventing surgical site infection and sepsis2,3
Wall and colleagues5 highlighted that antiseptic burns are termed ‘irritant contact dermatitis’
Aqueous betadine or chlorhexidine in alcohol were used as antiseptics
Summary
The use of antiseptics in theatre is mainstay treatment in reducing cutaneous bioburden and, in turn, preventing surgical site infection and sepsis. More effective than aqueous betadine is chlorhexidine gluconate – it is a broad-spectrum antiseptic but is not deactivated by organic compounds on the patient’s skin. Absorption into the skin, patient factors allowing permeability or resistance to absorption These factors are more likely to occur in combination in the operating theatre than in any other health environment. This is because antiseptics are at concentrations necessary to provide adequate asepsis and are applied to immobile, unconscious patients. Burns, in this brief, were reported in areas of occlusion such as between the patient and the operating table, and between the patient and a device (tourniquet). Journal of Perioperative Nursing in Australia Volume 30 Number 4 Summer 2017 acorn.org.au
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