Experience in using povidone-iodine to treat superficial and full-thickness burns
https://doi.org/10.21518/1995-1477-2019-3-4-58-64
Abstract
Thermal injuries are now ranked number one among injuries, and incidence of injury-related complications, especially infectious and purulent, does not decrease in surgical practice, despite the modern methods for treatment and prevention. Purulent complications depress the speed and quality of wound healing and increase the number of bed-days and treatment costs. Moreover, infection spreading complicates treatment and increases mortality and disability of patients with burn injuries. Choosing the most effective antiseptic agent for burn injuries is crutial both from the perspective of effective local treatment of wounds and wound complications and from the perspective of pharmacoeconomic aspects. At the current time, povidone iodine solution and ointment are one of the leading antiseptics used at all stages of care for burn patients. Its efficacy has been proven by clinical trials and many years’ experience of use by specialists and patients. We have also gained extensive positive experience in using this drug to treat 269 patients with burns of 5 to 35% total body surface area (TBSA) and various thickness without development of resistance and pain in patients and with a pronounced antiseptic effect during its use on the basis of City Clinical Hospital No. 2 of Stavropol, which once again proved high efficacy and feasibility of the widespread use of povidone-iodine in practice due to antimicrobial activity, high bioavailability, ease of use and economic benefits.
About the Authors
O. V. Vladimirova
Federal State Budget Educational Institution of Higher Education «Stavropol State Medical University» of the Ministry of Health of the Russian Federation,
Stavropol Krai State Clinical Hospital No. 2
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Associate Professor, Chair for General Surgery;
310 Mira St., Stavropol, 355017, Russia; Surgeon,
Department of Purulent Surgery and Burns, State Budgetary Healthcare Institution;
5 Balakireva St., Stavropol, 355000, Russia
P. M. Lavreshin
Federal State Budgetary Educational Institution of Higher Education «Stavropol State Medical University» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Dr. of Sci. (Med.), Professor, Head of Chair for General Surgery
310 Mira St., Stavropol, 355017, Russia
V. I. Vladimirov
State Budgetary Healthcare Institution of Stavropol Krai Pyatigorsk Interdistrict Oncology Dispensary
Russian Federation
Russian Federation
Dr. of Sci. (Med.), Surgeon, Oncologist
31 Prospekt Kalinina, Pyatigorsk, Stavropol Krai, 357502, Russia
A. E. Rybalko
State Budgetary Healthcare Institution of Stavropol Krai State Clinical Hospital No. 2
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Surgeon, Head of Department of Purulent Surgery
5 Balakireva St., Stavropol, 355000, Russia
I. A. Zybinskiy
Federal State Budgetary Educational Institution of Higher Education «Stavropol State Medical University» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
a postgraduate student
310 Mira St., Stavropol, 355017, Russia
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Review
For citations:
Vladimirova O.V., Lavreshin P.M., Vladimirov V.I., Rybalko A.E., Zybinskiy I.A. Experience in using povidone-iodine to treat superficial and full-thickness burns. Ambulatornaya khirurgiya = Ambulatory Surgery (Russia). 2019;(3-4):58-64. (In Russ.) https://doi.org/10.21518/1995-1477-2019-3-4-58-64
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