The Journal of Bone and Joint Surgery, Vol 62, Issue 5 826-828, Copyright © 1980 by Journal of Bone and Joint Surgery, Inc
The antimicrobial effectiveness of operative-site preparative agents: a microbiological and clinical study
MA Ritter, ML French, HE Eitzen and TJ Gioe
Eight wound preparative agents (one triclosan compound, one hexachlorophene
compound, and six iodophors) were evaluated under actual operating-room
conditions for efficacy in de-germing the operative site prior to the
performance of 310 total hip arthroplasties. All of the preparations tested
achieved a significant reduction (p less than or equal to 0.001) of
indigenous skin microflora compared with the pre-scrub level in both the
post-scrub and the postoperative cultures. Two iodophors, when applied as
sprays, demonstrated excellent bactericidal action, were less
time-consuming and easier to use than the compounds that were applied as
scrubs, and did not alter the low (0.42 per cent) infection rate that we
have recorded over a period of four years.