title: An assessment of skin preparation in upper limb surgery.
abstract: Postoperative wound infections remain a major source of upper limb morbidity. The effectiveness of peri-operative human upper limb preparation was determined using a clear fluid antiseptic and an iodine-based solution over 60 and 90 seconds. Less area was missed using iodine over both times and increasing clear solution preparation time from 60 to 90 seconds improved coverage. Surgical experience had little outcome relevance and a 90-second preparation time with either solution was insufficient, with fingers being the sites most commonly missed.
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, University College Hospital, Galway, Ireland. sullivanpaul@yahoo.com
authors.forename: P J
authors.initials: PJ
authors.lastname: Sullivan
authors.forename: C E
authors.initials: CE
authors.lastname: Healy
authors.forename: K M
authors.initials: KM
authors.lastname: Hirpara
authors.forename: A J
authors.initials: AJ
authors.lastname: Hussey
authors.forename: S M
authors.initials: SM
authors.lastname: Potter
authors.forename: J L
authors.initials: JL
authors.lastname: Kelly
mesh_terms: D000279:Administration, Cutaneous; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D000985:Antisepsis / Q000379:methods*; D002983:Clinical Competence; D004396:Coloring Agents / Q000008:administration & dosage*; D006801:Humans; D011206:Povidone-Iodine / Q000008:administration & dosage*; D011300:Preoperative Care; D015203:Reproducibility of Results; D034941:Upper Extremity / Q000601:surgery
chemical_list: D000891:Anti-Infective Agents, Local; D004396:Coloring Agents; D011206:Povidone-Iodine