Abstract :
Background: Lymph node are located throughout the lymphatic system, they are concentrated in
certain areas of the body including head and neck. Cervical lymph nodes are lymph nodes found in
the neck. Of the 800 lymph nodes in the human body, 300 are in the neck. Cervical lymph nodes are
subject to several different pathological conditions including tumours, infection and inflammation.
Methodology: The Povidine-iodine and chlorhexidine for preoperative skin preparation in cervical
lymph node biopsy procedure were used in this study and patients were asked for follow up after a
week. On follow up day their wounds were checked, assessed and withdraw all stiches and
complications were recorded accordingly and analysed them. It was discussed and showed that which
one of Povidine-iodine and chlorhexidine is best to use for preoperative skin preparation in cervical
lymph node biopsy procedures to reduce surgical site infection and economical one.
Results: Out of 150 patients, 46% (69) were males and 54% (81) were females that had cervical
lymphadenopathy after skin preparation by chlorhexidine antiseptic solution showed frequency of
infection in total of 150 patients 16.67% (25) were infected while the other 83.33%(125) were not
infected. Out of 150 patients who were underwent cervical lymphadenopathy after using povidine
iodine skin preparatory antiseptic solution, 42% (63) were males and 58% (87) were females and
among those frequency of infection showed 44.67% (67) were infected while the others 55.33% (83)
were not.
Conclusion: Preoperative scrubbing of the patient's skin with chlorhexidine–alcohol is better than
scrubbing with povidone–iodine for preventing surgical-site infection after cervical lymph node
biopsy.
Keyword :
Povidine iodine, chlorhexidine, biopsy, lymphadenopathy