The role of skin antisepsis in upper extremity surgery to reduce surgical site infection: a comparison between single and triple regimen

Purpose: No consensus is made for preoperative skin antisepsis upper extremity surgery. We aimed to determine if the use of povidone-iodine only (single regimen) instead and alcohol-chlorhexidine (triple resulted in an increased rate surgical site infection (SSI), detect any associated factors that risk.Methods: A cross-sectional, retrospective review medical records was patients who underwent surgery from March 2020 February 2021. Either single or triple regimen used antisepsis. Rate SSI compared through marked elevation C-reactive protein (CRP) at 2 weeks after surgery, superficial SSI, deep SSI. Logistic regression analysis performed find among evaluated parameters.Results: Among 175 (male, 81 female, 94), 78 (44.6%) 97 (55.4%). Single (odds ratio [OR], 2.425; 95% confidence interval [CI], 1.040–5.655) procedure using metal implant (OR, 3.602; CI, 1.184–10.953) were significantly with CRP weeks. However, there no difference rates between regimen. Diabetes mellitus 6.636; 1.259–34.969) associating factor logistic analysis.Conclusion: Our study suggests maintained a longer regimen, but similarly effective preventing surgeries.