Povidone Iodine: Properties, Mechanisms of Action, and Role in Infection Control and Staphylococcus aureus Decolonization

Author:

Lepelletier Didier1,Maillard Jean Yves2,Pozzetto Bruno34,Simon Anne5

Affiliation:

1. Bacteriology/Hospital Hygiene Department, Nantes University Hospital, Nantes, France

2. School of Pharmacy and Pharmaceutical Sciences and Cardiff Institute for Tissue Engineering and Repair, Cardiff University, Cardiff, United Kingdom

3. GIMAP-EA3064, University of Saint-Etienne, Saint-Etienne, France

4. Department of Infectious Agents and Hygiene, Saint-Etienne University Hospital, Saint-Etienne, France

5. Pole de Microbiologie, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium

Abstract

Nasal decolonization is an integral part of the strategies used to control and prevent the spread of methicillin-resistant Staphylococcus aureus (MRSA) infections. The two most commonly used agents for decolonization are intranasal mupirocin 2% ointment and chlorhexidine wash, but the increasing emergence of resistance and treatment failure has underscored the need for alternative therapies. This article discusses povidone iodine (PVP-I) as an alternative decolonization agent and is based on literature reviewed during an expert’s workshop on resistance and MRSA decolonization.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference108 articles.

1. World Health Organization. 2016. Global guidelines for the prevention of surgical site infection. World Health Organization, Geneva, Switzerland.

2. Methicillin-resistant Staphylococcus aureus: an overview of basic and clinical research

3. European Centre for Disease Prevention and Control. 2017. Healthcare-associated infections: surgical site infections. In ECDC: annual epidemiological report for 2015. ECDC, Stockholm, Sweden.

4. Clinical Impact of Antimicrobial Resistance in European Hospitals: Excess Mortality and Length of Hospital Stay Related to Methicillin-ResistantStaphylococcus aureusBloodstream Infections

5. Treatment of familial staphylococcal infection—comparison of mupirocin nasal ointment and chiorhexidine/neomycin (Naseptin) cream in eradication of nasal carriage

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