Evidence map›Paper›PMID 39623026›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2024

Povidone-iodine-induced scalp lesions in pediatric neurosurgery patients: a case series.

David Barkyoumb, Sherwin A Tavakol, Xiaochun Zhao, Mark E Stephens, Devin V Bageac, Ira E Bowen, Virendra R Desai

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

David BarkyoumbDepartment of Neurosurgery, Section of Pediatric Neurosurgery, Oklahoma Children's Hospital, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Sherwin A TavakolDepartment of Neurosurgery, Section of Pediatric Neurosurgery, Oklahoma Children's Hospital, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Xiaochun ZhaoDepartment of Neurosurgery, Section of Pediatric Neurosurgery, Oklahoma Children's Hospital, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Mark E StephensDepartment of Neurosurgery, Section of Pediatric Neurosurgery, Oklahoma Children's Hospital, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Devin V BageacDivision of Neurosurgery, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Ira E BowenDepartment of Neurosurgery, Section of Pediatric Neurosurgery, Oklahoma Children's Hospital, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Virendra R DesaiDivision of Neurosurgery, Children's Hospital Los Angeles, Los Angeles, CA, USA. vdesai@chla.usc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePovidone-iodine, or Betadine® (Atlantis Consumer Healthcare Inc., Bridgewater, NJ), is a commonly used agent for surgical site preparation. Although commonly used, it carries the risk of skin reactions, and multiple cases of intra-operative contact dermatitis and chemical burns have been reported. However, to our knowledge, there are currently no published cases of povidone-iodine-induced skin lesions in neurosurgical patients.

methodsA single-center retrospective chart review was performed to identify patients who developed scalp lesions secondary to chemical toxicity following neurosurgical procedures between October 1, 2021, and June 30, 2024.

resultsThree patients were identified, ranging from 2.5 months to 14 years old. Two were positioned prone and the third in lateral decubitus. All patients' heads were supported by a horseshoe headrest covered with a gel pad and wrapped in a cotton roll. For two patients, Reston™ foam (3M©, St. Paul, MN) was added on the horseshoe. Surgical sites were prepped with isopropyl alcohol, Betadine®, and chlorohexidine. Two patients had their heads intermittently lifted throughout the procedure. Lesions were identified immediately after returning the patient to the supine position in the operating room and steadily improved over the course of one to five months with local wound care.

conclusionsCareful preparation of the surgical site is an essential step in the prevention of surgical site infections. However, caution should be exercised during skin preparation to avoid pooling of povidone-iodine around dependent regions. Additional steps, such as scheduled head elevations and pressure dispersion, should be taken to mitigate factors contributing to these lesions.

Indexed as

Anti-Infective Agents, LocalNeurosurgical ProceduresPovidone-IodineAdolescentChildChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesScalpAnti-Infective Agents, LocalPovidone-IodineChemical burnContact dermatitisPovidone-iodineSurgical site preparation

Identifiers

PMID39623026

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