Smolle, MA; Puchwein, P; Sadoghi, P.
Skin Antisepsis before Surgical Fracture Fixation.
N Engl J Med. 2024; 390(16): 1532-1533.
Doi: 10.1056/NEJMc2403234
Web of SciencePubMedFullTextFullText_MUG
To the Editor: In the PREPARE trial conducted by the PREP-IT investigators, Sprague and colleagues (Feb. 1 issue)(1) found a protective effect of skin antisepsis with iodine povacrylex as compared with chlorhexidine gluconate against surgical-site infection in patients undergoing procedures for closed lower limb and pelvic fractures. However, the investigators found no between-group difference in patients undergoing surgery for open fractures. In making this determination, the investigators did not report and consequently adjust for the duration of surgery, a known risk factor for surgical-site infection.(2,3) This omission may serve as an additional explanation for the lack of a significant difference . . .
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