Vaginal Prep solutions

[chills07]

Is anyone using an acceptable substitute for Technicare, which is no longer available, for lady partsl preps on patients with an iodine allergy/sensitivity?

CHG states on the bottle that it is not recommended for lady partsl preps and we are not comfortable using this in the event of a lawsuit.

Thanks!:)

[ORgirl2010]

We use Exidine on patients with betadine allergies. We use this all the time in our cysto cases regardless of allergy status. Most gyn cases still use betadine scrub and paint with the exception of people with allergies.

[Rose_Queen, BSN, MSN, RN]

For those of you who say you are still using Technicare:

1 How are you getting it?

2 Why are you still using it if it's been recalled?

Just a bit confused here.

[boopette]

We do a saline wash as well at my hospital as technicare is no longer available

[nurse624]

it is not recommended to use hibiclens as lady partsl prep or to dilute it. hibiclens is 4% chg and 4% alcohol. check out this article published in the american college of obgyns showing what can happen when we prep with hibiclens: http://ovidsp.tx.ovid.com/sp-3.4.1b/ovidweb.cgi?t=js&page=fulltext&d=ovft&an=00006250-200405001-00008&news=n&csc=y&channel=pubmed.

the problem with hibiclens is the concentration of chg plus the alcohol. however, many studies support the use of chg in lady partsl mucosa at concentrations less than 1%.

irrisept is a 0.05 chg concentration that is fda cleared as an irrigation system. the company does not have specific claims to be used as vag prep. hospitals are using it off-label due to the published literature showing this concentration is safe and effective.

betadine used in lady partsl mucosa is also off-label. betadine is not effective in the presence of blood and should be allowed to dry. . . we all know it does not dry in the lady partsl vault.