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Article in Japanese

Safe and Effective Skin Antiseptics in Gastrointestinal Surgery

Hiroaki HATA1)2), Masashi SAJI3) and Megumi IIO2)4)
1)Department of Surgery, National Hospital Organization, Kyoto Medical Center, 2)Department of Infection Control and Prevention, National Hospital Organization, Kyoto Medical Center, 3)Department of Emergency and Critical Care Medicine, National Hospital Organization, Kyoto Medical Center, 4)Department of Nursing, National Hospital Organization, Kyoto Medical Center


Povidone iodine, alcohol, and chlorhexidine gluconate are commonly used for skin antisepsis in surgical settings. Recently, a randomized controlled trial confirmed the effectiveness of oranexidine, a new skin antiseptic, for this purpose. However, many disinfectants are not recommended for disinfecting mucous membranes. Therefore, it is important to understand the efficacy and precautions of each agent before making a choice. This article aims to describe the indications, contraindications, and precautions for the agents frequently used in gastrointestinal surgical field antisepsis and summarize the results of recent studies on the efficacy of these agents.

Key words:antiseptics, sterilization of surgical fields, povidone iodine, chlorhexidine gluconate, alcohol

e-mail: hhata-kyt@umin.ac.jp

Received: February 28, 2023
Accepted: March 11, 2023

38 (3):75─79,2023

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