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- W2972528051 abstract "We read with great interest the recent article by Lakhi et al. 1 Lakhi N.A. Tricorico G. Osipova Y. Moretti M.L. Vaginal cleansing with chlorhexidine gluconate or povidone-iodine prior to cesarean delivery: a randomized comparator-controlled trial. AJOG MFM. 2019; 1: 2-9 Scopus (14) Google Scholar Indeed, abdominal preparation protocols increasingly are using chlorhexidine as a disinfectant because it appears to have a better antibacterial profile, 2 Privitera G.P. Costa A.L. Brusaferro S. et al. Skin antisepsis with chlorhexidine versus iodine for the prevention of surgical site infection: a systematic review and meta-analysis. Am J Infect Control. 2017; 45: 180-189 Abstract Full Text Full Text PDF PubMed Scopus (65) Google Scholar without concerns related to interference on maternal or fetal thyroid affectation. 3 Findik R.B. Yilmaz G. Celik H.T. Yilmaz F.M. Hamurcu U. Karakaya J. Effect of povidone iodine on thyroid functions and urine iodine levels in caesarean operations. J Matern Neonatal Med. 2014; 27: 1020-1022 Crossref Scopus (9) Google Scholar The fact that chlorhexidine decreases wound complications while being equivalent to povidone-iodine in terms of the incidence of other infections may help promote the implementation of vaginal cleansing as part of the presurgical routine. It has also an additional value because most of the current evidence comes from studies that used povidone-iodine as the intervention agent. However, we would like to raise a few issues. Vaginal cleansing with chlorhexidine gluconate or povidone-iodine prior to cesarean delivery: a randomized comparator-controlled trialAmerican Journal of Obstetrics & Gynecology MFMVol. 1Issue 1PreviewSeveral randomized controlled trials have demonstrated that preoperative abdominal skin preparation with chlorhexidine gluconate is superior to povidone-iodine for the prevention of surgical site infections. Despite these results, povidone-iodine is still the most commonly used agent for vaginal preparation, even though it may not be ideal. Full-Text PDF" @default.
- W2972528051 created "2019-09-19" @default.
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- W2972528051 date "2019-11-01" @default.
- W2972528051 modified "2023-09-26" @default.
- W2972528051 title "Vaginal cleansing with chlorhexidine gluconate or povidone-iodine prior to cesarean delivery: a randomized comparator-controlled trial" @default.
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- W2972528051 doi "https://doi.org/10.1016/j.ajogmf.2019.100038" @default.
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