Abstract
Postoperative skin reactions are rare but serious complications. Contact dermatitis, allergic reactions, and burns had been reported. Drugs, disinfectant solutions used for skin preparation, wound dressings had associated with these skin reactions. %10 Povidone iodine solution, being a powerful antiseptic and wide spectrum disinfectant has recently replaced iodine solutions because of sensitivity reactions reported.It has a dark, amber brown color and gives the skin this color. Contact dermatitis, burns had been reported in cases who had skin preparation with %10 povidone iodine. In our case report, some postoperative skin reactions had been described, the possible causes discussed and the important points for careful preoperative skin preparation with povidone iodine had been reviewed.
Keywords
Povidone iodine/adverse effects local ant infective agents/adverse effects chemical burns skin reactions postoperative complications
References
- Liu FC, Liou JT, Hui YL, Hsu JC, Yang CY, Yu HP, Lui PW . Chemical burn caused by povidone-iodine alcohol solution--a case report. Acta Anaesthesiol Sin. 2003 Jun;41(2):93-6.
- Durani P, Leaper D. Povidone-iodine: use in hand disinfection, skin preparation and antiseptic irrigation. Int Wound J. 2008 Jun;5(3):376-87.
- Travis W, Vandergriff MD et al. Irrıtant contact dermatitis from exposure to povidone-iodine may resemble toxic epidermal necrolysis. Dermatology Online Journal 2006. 12 (7):12. URL:http://www. dermatology.cdlib.org/127/case_reports/povidone/hsu.html.
- Iijima S, Kuramochi M. Investigation of irritant skin reaction by 10% povidone-iodine solution after surgery. Dermatology 2002 ; 204:103-108.
- Lowe DO, Knowles SR et al. Povidone-iodine-induced burn: A case report and review of the literature. Pharmacotherapy. 2006 Nov; 26 (11):1641-5.
- Kara A, Devrim I, Cengiz AB, Secmeer G . Chemical burn: A risk with outdated povidone iodine. Pediatr Dermatol. 2007 Jul-Aug;24(4):449-50.
- Conner R. Warming prep solution; fast tracking; wallpaper in OR; quarantine of autoclaves. AORN Journal June1999. 1244-1248. URL:http://www.aornjournal.org/issues/contents.
- Ellenhorn JD, Smith DD, Schwarz RE, Kawachi MH, Wilson TG, McGonigle KF, Wagman LD, Paz IB. Paint-only is equivalent to scrub-and-paint in preoperative preparation of abdominal surgery sites. JAm Coll Surg. 2005 Nov;201(5):737-41. Epub 2005 Aug 31.
- Hodgkinson DJ,Irons GB,Williams TJ. Chemical burns and skin preparation solutions. Surg Gynecol Obstet.1978 Oct;147(4):534-6.
- Iijima S,Kuramochi M. Investigation of irritant skin reaction by 10 % povidone-iodine solution after surgery. Dermatology 2002;204 Suppl 1:103-8.
- Pedrosa C, Costa H, Oliveria G, Romariz J, Praça . Anaphylaxis to povidone in a child. Pediatr Allergy Immunol.2005 Jun;16(4):361-2.
Abstract
Ameliyat sonrası cilt reaksiyonları ender bildirilen ancak ciddi komplikasyonlardır. Kontakt dermatit, alerjik reaksiyonlar, yanık olguları bildirilmiştir. Bu cilt reaksiyonlarından ilaçlar, cilt hazırlığı için kullanılan solüsyonlar, yara pansuman malzemeleri gibi etkenler sorumlu tutulmuştur. %10 Povidon iyot solüsyonu, güçlü bir antiseptik ve geniş spektrumlu bir dezenfektan olarak, son yıllarda bildirilen sensitivite reaksiyonları nedeniyle iyot solüsyonunun yerini almıştır. Koyu amber kahverengidir ve cilde rengini verir. %10 Povidon iyot solüsyonu ile cilt temizliği uygulanan olgularda, kontakt dermatit, yanık gibi çeşitli cilt reaksiyonları bildirilmiştir. Olgu sunumumuzda, postoperatif dönemde karşılaştığımız bazı cilt reaksiyonları bildirilmiş, olası nedenleri tartışılarak, ameliyat öncesi %10 povidon iyot solüsyonu ile cilt hazırlığında özen gösterilmesi gereken noktalar belirtilmiştir.
Keywords
Povidon iyot/yan etkiler; lokal antiinfektif ajanlar/yan etkiler; kimyasal yanık; cilt reaksiyonu postoperatif komplikasyonlar
References
- Liu FC, Liou JT, Hui YL, Hsu JC, Yang CY, Yu HP, Lui PW . Chemical burn caused by povidone-iodine alcohol solution--a case report. Acta Anaesthesiol Sin. 2003 Jun;41(2):93-6.
- Durani P, Leaper D. Povidone-iodine: use in hand disinfection, skin preparation and antiseptic irrigation. Int Wound J. 2008 Jun;5(3):376-87.
- Travis W, Vandergriff MD et al. Irrıtant contact dermatitis from exposure to povidone-iodine may resemble toxic epidermal necrolysis. Dermatology Online Journal 2006. 12 (7):12. URL:http://www. dermatology.cdlib.org/127/case_reports/povidone/hsu.html.
- Iijima S, Kuramochi M. Investigation of irritant skin reaction by 10% povidone-iodine solution after surgery. Dermatology 2002 ; 204:103-108.
- Lowe DO, Knowles SR et al. Povidone-iodine-induced burn: A case report and review of the literature. Pharmacotherapy. 2006 Nov; 26 (11):1641-5.
- Kara A, Devrim I, Cengiz AB, Secmeer G . Chemical burn: A risk with outdated povidone iodine. Pediatr Dermatol. 2007 Jul-Aug;24(4):449-50.
- Conner R. Warming prep solution; fast tracking; wallpaper in OR; quarantine of autoclaves. AORN Journal June1999. 1244-1248. URL:http://www.aornjournal.org/issues/contents.
- Ellenhorn JD, Smith DD, Schwarz RE, Kawachi MH, Wilson TG, McGonigle KF, Wagman LD, Paz IB. Paint-only is equivalent to scrub-and-paint in preoperative preparation of abdominal surgery sites. JAm Coll Surg. 2005 Nov;201(5):737-41. Epub 2005 Aug 31.
- Hodgkinson DJ,Irons GB,Williams TJ. Chemical burns and skin preparation solutions. Surg Gynecol Obstet.1978 Oct;147(4):534-6.
- Iijima S,Kuramochi M. Investigation of irritant skin reaction by 10 % povidone-iodine solution after surgery. Dermatology 2002;204 Suppl 1:103-8.
- Pedrosa C, Costa H, Oliveria G, Romariz J, Praça . Anaphylaxis to povidone in a child. Pediatr Allergy Immunol.2005 Jun;16(4):361-2.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | June 1, 2009 |
| Submission Date | July 29, 2014 |
| Published in Issue | Year 2009 Volume: 16 Issue: 2 |