Saturday, May 10, 2008

A slight overstatement, perhaps

Danger of infection in surgery preparation - National - smh.com.au

There's an orthopedic surgeon upset about idiosyncratic rules in Sydney hospitals:

Dr Robert Molnar has for the past six months unsuccessfully sought an explanation from the Health Department as to why he is not permitted to use alcoholic surgical preparation solution on his patients at Westmead Hospital, yet he is able to at St George and Sutherland public hospitals.

The rules vary across hospitals: alcoholic solution can be used at Fairfield, Concord, Prince of Wales, Royal Women's and Royal Prince Alfred hospitals but is barred at Liverpool, Nepean, Gosford, Canterbury or Royal North Shore.

And why does this matter? Apparently, the alcohol based ones are known to offer better protection against post operative infection:

A Sydney orthopedic surgeon, Doron Sher, said that if the surgeon was appropriately educated the risk of fire was minimal.

"There is evidence in the literature showing that infection rates are lower using alcoholic Betadine," he said. "I use the alcoholic solution when I get the option because I believe that you get a lower infection rate."

But I like this line in the report best, as I assume this conclusion hasn't been verified in studies:

Dr Molnar had used an aqueous antiseptic to prepare the skin.

"You may as well spit on the wound...." he said, noting that alcoholic solution could be used at most private NSW hospitals.

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