OTA 2022: Preoperative Aqueous Antiseptic Skin Solutions for Open Fractures
Aqueous-PREP: A Pragmatic Randomized Trial Evaluating Preoperative Aqueous Antiseptic Skin Solutions in Open Fractures
1640 patients receiving surgical fixation for open extremity fractures were randomized to receive either 10% povidone-iodine or 4% chlorhexidine gluconate (CHG) for antiseptic skin preparation. The primary outcome of this trial was surgical-site infection and the secondary outcome was unplanned fracture-related reoperation within 1 year. Results revealed no significant differences in all outcomes between the two aqueous-based solutions.
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