Comparison of Chlorhexidine-Alcohol and Povidone-Iodine for Skin Antisepsis and the Effect of Increased Blood Volume in Blood Culture
Original article PDF Hyekyung Kang1, Seong Chun Kim2, Sunjoo Kim3 1Department of Pharmacy, Gyeongsang National University Hospital, Departments of 2Emergency Medicine, and 3Laboratory Medicine, Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Korea Corresponding to Sunjoo Kim, E-mail: sjkim8239@hanmail.net Ann Clin Microbiol 2012;15(1):37-42. https://doi.org/10.5145/KJCM.2012.15.1.37Copyright © Korean Society of Clinical Microbiology. Abstract Background: Reducing skin contamination rate and improving the positive rate in blood culture is essential for the correct diagnosis and management of sepsis. Chlorhexidine-alcohol was compared with povidone-iodine for the efficiency of disinfection. Positive rates were compared between the collection of 10 mL and 20 mL of blood per sample. Methods: The study population included adult patients ≥ 18 years old requested for blood culture in the Emergency Department. Povidone-iodine (10%) was used for antiseptic skin preparation from March to June 2011, and 0.5% chlorhexidine-alcohol from July to October 2011. The standard for blood collection was