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RESEARCH PRODUCT

The Effectiveness of 0.6% Povidone Iodine Eye Drops in Reducing the Conjunctival Bacterial Load and Needle Contamination in Patients Undergoing Anti-VEGF Intravitreal Injection: A Prospective, Randomized Study

Marianna MartinelliClaudio FurinoMatteo FallicoTito FioreRobert RejdakRosario MusumeciTeresio AvitabileAntonio LongoAndrea RussoKatarzyna NowomiejskaFrancesco BandelloNiccolò CastellinoClementina CocuzzaPatrizia GrassiMario Damiano ToroVincenza BonfiglioMichele ReibaldiSalvatore CillinoCarlo Cagini

subject

Microbiological culturechemistry.chemical_elementlcsh:Medicineconjunctival flora; endophthalmitis; intravitreal injection; needle contamination; povidone iodinePlaceboIodineArticle03 medical and health sciencesconjunctival flora0302 clinical medicineEndophthalmitisneedle contamination0502 economics and businessMedicineIn patientAdverse effectpovidone iodinebusiness.industry05 social scienceslcsh:Rintravitreal injectionGeneral MedicinePerioperativeContaminationmedicine.diseaseendophthalmitichemistryendophthalmitisAnesthesia030221 ophthalmology & optometry050211 marketingbusiness

description

The study purpose was to assess the efficacy of a preservative-free 0.6% povidone iodine eye drops as perioperative prophylactic treatment for reducing conjunctival bacterial load and the rate of needle contamination in patients undergoing intravitreal anti-vascular endothelial growth factor injection. Enrolled patients were randomized to either the study group (0.6% povidone iodine, three day-prophylactic treatment before the injection) or to the control group (placebo, three day-prophylactic treatment). Conjunctival swabs were obtained before and after the prophylactic treatment in both groups. Intravitreal injections were performed in a sterile fashion. The injection needle and a control needle were collected for microbiological culture. Data from 254 and 253 eyes in the study group and control group, respectively, were analyzed. Bacterial growth from conjunctival swab cultures was significantly lower after 0.6% povidone iodine prophylaxis compared to baseline and to placebo prophylaxis (p &lt

10.3390/jcm8071031https://www.mdpi.com/2077-0383/8/7/1031