首页   按字顺浏览 期刊浏览 卷期浏览 Povidone‐iodine enema as a preoperative bowel preparation for colorectal surgery...
Povidone‐iodine enema as a preoperative bowel preparation for colorectal surgeryA bacteriologic study

 

作者: Jean‐Marie Hay,   Yves Boussougant,   François Lacaine,   Jean‐François Régnard,   Jean‐Michel Molkhou,   Denis Roverselli,   Abe Fingerhut,  

 

期刊: Diseases of the Colon & Rectum  (OVID Available online 1989)
卷期: Volume 32, issue 1  

页码: 9-13

 

ISSN:0012-3706

 

年代: 1989

 

出版商: OVID

 

关键词: Colon;Rectum;Cancer;Surgery;Flora;Enema;Antiseptics

 

数据来源: OVID

 

摘要:

&NA;To evaluate the effects of povidone‐iodine (PI) enema on the bacterial flora of colorectal mucosa, the authors studied 113 patients who were candidates for colorectal surgery. The study of the rectum included 72 patients. Total bacterial concentrations after a PI enema (N=44) were significantly lower than after a simple water enema (N=12,P<0.001), or than after a water enema associated with intravenous metronidazole (N=16,P<0.01). The study of the colon included 41 patients. Total bacterial concentrations did not differ after a PI enema (N=24) than after a water enema (N=11); both groups were associated with intravenous metronidazole. In contrast, both preparations significantly reduced bacterial concentrations when compared with oral administration of polyethyleneglycol (N=6,P<0.01). Similar results were observed in rectal and colonic studies, when analysis was restricted to the anaerobic flora. PI is an antiseptic that, when administered alone in an enema or in association with metronidazole, significantly reduces bacterial concentrations in the mucosa of the colon and rectum. It may be proposed as a simple preoperative preparation for colorectal surgery.

 

点击下载:  PDF (390KB)



返 回