International Journal of Preventive Medicine (Int J Prev Med)2008-780210102020020921532153ENDepartment of Operating Room, School of Nursing and Midwifery, Isfahan University of Medical Sciences, IsfahanDepartment of Operating Room, School of Paramedical Sciences, Kermanshah University of Medical Sciences, KermanshahDepartment of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, IsfahanDepartment of Operating Room, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, IsfahanSchool of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan20200119<p><span class="fontstyle0"><strong>Background</strong>: </span><span class="fontstyle2">The aim of this study was to compare the PID with bare skin (without PID) regarding bacterial recolonization and bacterial regrowth of the adjacent skin of surgical incision in lumbar spine surgery patients. </span></p><p><span class="fontstyle0"><strong>Methods</strong>: </span><span class="fontstyle2">This quasi‑experimental study was conducted from February to May 2018 on 88 patients who were candidate for lumbar spine surgery. Patients were assigned<br />to one of two groups, treatment (with PID) and control (without PID). Skin sampling (adjacent of surgical incision) for bacterial culture was done in two steps, immediately after surgical skin prep (IASSP) and immediately after surgical wound closure (IASWC) by researcher. Finally, samples were sent to the laboratory. </span></p><p><span class="fontstyle0"><strong>Results</strong>: </span><span class="fontstyle2">The mean total bacterial count of patient’s skin in stage IASSP was not significantly different between treatment and control groups (0.34 vs 0.27, </span><span class="fontstyle3">P </span><span class="fontstyle2">= 0.68). However, mean total bacterial count in stage IASWC in treatment group was<br />significantly higher than control group (2.2 vs 0.93, </span><span class="fontstyle3">P </span><span class="fontstyle2">= 0.03). The frequency distribution of </span><span class="fontstyle3">S. aureus </span><span class="fontstyle2">(</span><span class="fontstyle3">P </span><span class="fontstyle2">= 0.04) and </span><span class="fontstyle3">S. epidermidis </span><span class="fontstyle2">(</span><span class="fontstyle3">P </span><span class="fontstyle2">= 0.02) was significantly higher in treatment group compared with control group in stage IASWC. </span></p><p><span class="fontstyle0"><strong>Conclusions</strong>: </span><span class="fontstyle2">The results showed that using PID is unable to reduce recolonization and regrowth of bacteria on patients’ skin adjacent to surgical wound in clean lumbar spine surgeries. However, making a definite decision about using or not<br />using of PID requires further studies.<br /></span></p><p><span class="fontstyle0" style="color: #00652e;"><strong>Keywords</strong>: </span><span class="fontstyle3">Bacteria, lumbar vertebrae, surgical drapes, surgical wound</span></p>http://ijpm.mui.ac.ir/index.php/ijpm/article/view/2153http://ijpm.mui.ac.ir/index.php/ijpm/article/download/2153/717717949