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Orthopaedic Proceedings
Vol. 102-B, Issue SUPP_2 | Pages 86 - 86
1 Feb 2020
Khondakar N Shah N Murtaugh T Gold R Aylyarov A Pascal S Harb M Newman J Schwartz J Maheshwari A
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Summary

A meta-analysis was performed to compare rate of SSI after application of chlorhexidine vs. iodine in total joint arthroplasty. Chlorhexidine had significantly lower odds of SSI.

Introduction

Surgical site infections (SSI) are a significant source of morbidity and mortality. The optimal preoperative skin preparation in lower extremity total joint arthroplasty (TJA) remains debatable between chlorhexidine and iodine-containing solutions. This meta-analysis sought compare SSI rates between chlorhexidine cloth application the night before surgery plus povidone-iodine-alcohol (povidone-iodine) solution at surgery or only povidone-iodine at surgery.