Is There a Hole for the Use of Dilute Povidone-iocline (Betadine) Irrigation or Other Antiseptic Irrigation Solutions During Total Ankle Arthropiasty (TAA) or Other Foot and Ankle Procedures?

摘要

Recommendation: With regard to total ankle arthropiasty (TAA), there is a lack of evidence to r ecommend for or against the use of betadine solution.Level of Evidence: Consensus. Delegate Vote: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus) In 2016, the World Health Organization (WHO) published guidelines for the prevention of surgical site infections (SSIs). Based on a review of 17 randomized controlled trials, there is moderate-quality evidence that alcohol-based antiseptic solutions for preparation of the surgical site decrease the risk of SSIs in comparison to aqueous solutions. A low quality of evidence showed decreased SSI risk with alcohol-based chlorhexidine gluconate compared to alcohol-based betadine. Although alcohol may be concerning for persons from certain religions, the WHO guideline highlights the statement issued in 2002 by the Muslim Scholars Board of the Muslim World League. According to the Board, medicines containing alcohol may be used as an external cleaner.