Supporting
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Supporting
3M Infection Prevention Solutions 3M Ioban 2 Antimicrobial Incise Drape TM TM Supporting professionals to reduce SSIs 3 Not all Incise Drapes are alike… Why use 3M Ioban Antimicrobial Incise Drapes? TM TM Ioban 2 antimicrobial incise drapes reduce the likelihood of skin recolonisation after prepping4, and thus reduce the risk of wound contamination by skin flora9, which is a common cause of SSI8. A non-impregnated incise drape does not have the iodophor active agent, but simply immobilises the skin flora as it continues to grow throughout the procedure. All Ioban 2 antimicrobial incise drapes offer the following: • Iodophor for sustained antimicrobial activity throughout the procedure.3 • A conformable film that adheres to body contours.10 • Breathable ensuring adhesion to the skin.11 Clinical Evidence - “Ioban; it just works”1 “ Ioban is an essential part of a surgeon’s care bundle to reduce the risk of SSIs and creates a sterile field not achievable by skin preparation alone. Following skin preparation Ioban ensures the surgical site is sealed and as the skin sweats the drape stays in place and the active agent keeps working. 1 ” NICE guidelines for prevention of SSIs also recommend that ‘if an incise drape is required, use an iodophor impregnated drape.’2 Ioban incise drapes are supported by clinical evidence covering a variety of surgical procedures and should be used following preoperative skin antisepsis. Once the skin prep is dry Ioban incise drapes can be applied over any type of skin preparation solution including multi use or single use products and iodine or chlorhexidine based solutions. When comparing four methods of skin preparation the one minute painting with seventy percent isopropyl alcohol and application of an Ioban incise drape was more effective than the other regimes in delaying bacterial recolonisation.4 All four methods of skin preparation were effective in removing bacteria from the skin surface however Ioban incise drapes were more effective than the other regimens in delaying bacterial recolonisation.4 Clinical Evidence Summary Key Findings All Ioban 2 antimicrobial incise drapes offer the following: •Compared to three other incise drapes, Ioban incise drapes have a higher microbiocidal effect in vitro on a wide range of organisms including MRSA and MRSE3 •When comparing four methods of skin preparation, skin recolonisation was less after preparation with Ioban incise drapes during an in vivo trial on healthy volunteers’ skin4 •Ioban incise drapes reduce bacterial wound contamination in clean and clean contaminated surgeries5 •Ioban incise drapes have the potential to reduce surgical site infections as demonstrated in a retrospective study during liver resection surgery6 Cost Savings “The financial burden of SSIs to the NHS is approximately £758 million per year and cost per SSI approximately £2,100.”7 With greater surveillance this figure could be much higher and the impact on the patient’s experience and recovery is also a key reason to use interventions which will reduce the risk of SSIs during surgical procedures. 3M Ioban Drape Facts TM TM •The development of Ioban drapes was a customer inspired innovation first launched in 1982 •Ioban drapes uniquely deliver iodine onto the patient’s skin in a controlled and effective manner •Combined with a strong and fluid resistant adhesive, Ioban drapes provide a tight seal around the wound edge to stop the pathway of bacteria entering 3M Ioban Drape Benefits TM TM by Mr Philip Roberts, Consultant Orthopaedic Surgeon1 •Ioban drapes protect and seal skin edges which is key during minimally invasive surgery •Skin markings can be seen and maintained under Ioban drapes, ensuring wound edges are realigned perfectly. Better skin closure means less chance of an infection and improved appearance for the patient •Use of Ioban drapes allows safe extension of the wound and allows you to cover large areas just in case you need to make further incisions •Ioban drapes allow you to perform more accurate surgery as you can expose key landmarks rather than hiding them under a surgical drape E-Learning/Support E-learning courses are available to healthcare professionals who require support in using Ioban drapes. Log in and register at www.3m.co.uk/elearning for access Examples of courses: Title CPD Hours Antimicrobial Incise Drape Training 1.0 Draping with 3M™ Ioban™ 2 Incise Drapes 0.5 Draping with 3M™ Ioban™ 6661EZ Incise Drapes 0.5 Draping with 3M™ Ioban™ EZ Incise Drapes 0.5 3M Clinical Nurse Advisors and Technical Support is also available to provide advice on the best clinical application of Ioban incise drapes. Visit www.3M.co.uk/ioban to request more information. Ordering Information 3M™ loban™ 2 Antimicrobial Incise Drapes 3M Cat No. Product Overall Size Adhesive Area Items/Box Boxes/Case 6635 Recommended Application Treatment Incise 15cm x 20cm 10cm x 20cm 10 4 For small limb surgery i.e. fingers and toes 6640 Small Incise 44cm x 35cm 34cm x 35cm 10 4 Small limb surgery, ankles, wrists 6650 Medium Incise 66cm x 45cm 56cm x 45cm 10 4 Hernia repair, paediatrics 6648 Large Incise 66cm x 60cm 56cm x 60cm 10 4 Knees, shoulders, abdominal procedures 6651 Extra Large Incise 66cm x 85cm 56cm x 85cm 10 4 Hips, cardiac surgery, major abdominal surgery 3M™ loban™ 2 Antimicrobial Incise Drapes EZ 3M Cat No. Product Overall Size Adhesive Area Items/Box Boxes/Case Recommended Application 6661EZ Frame Delivery 30cm x 20cm 26cm x 20cm 50 2 Paediatric surgery, ankles, wrists 6640EZ Small Incise 60cm x 35cm 35cm x 35cm 10 4 Small limb surgery, ankles, wrists 6650EZ Medium Incise 90cm x 45cm 60cm x 45cm 10 4 Hernia repair, paediatrics 6648EZ Large Incise 90cm x 60cm 60cm x 60cm 10 4 Knees, shoulders, abdominal procedures 6651EZ Extra Large Incise 90cm x 85cm 60cm x 85cm 10 4 Hips, cardiac surgery, major abdominal surgery Overall Size Incise Area Items/Box Boxes/Case 3M™ Drapes with loban™ 2 Incise Area 3M Cat No. Product Recommended Application 6665 Abdomino-Perineal Drape 200cm x 270cm 35cm x 46cm 10 1 General Surgery 6677 Cardiovascular Sheet 274cm x 338cm 41cm x 92cm 6 1 Cardiac Surgery 6681 Cardiovascular Drape 320cm x 230cm - 8 1 Cardiac Surgery 6682 Cardiovascular Drape 330cm x 254cm 78cm x 43cm 8 1 Cardiac Surgery 6697 Caesarean Section Drape 254cm x 291cm 30cm x 30cm 5 1 Obstetrics, Gynaecology 6617 Isolation Drape 320cm x 213cm 48cm x 25cm 5 4 Orthopaedic 6619 Large Isolation Drape 328cm x 252cm 70cm x 32cm 5 1 Orthopaedic 6687 Craniotomy Drape 231cm x 432cm 36.8cm x 21.4cm 10 1Neurosurgery Please visit www.3m.co.uk/ioban for more product information, to request samples or arrange a visit from a 3M representative References 1. Mr Philip Roberts, Consultant Orthopaedic Surgeon, University Hospital of North Staffordshire, January 2012. 2. Surgical Site Infection Prevention and Treatment of Surgical Site Infection, Clinical Guideline for the NHS by NICE, October 2008. 3. An In vitro Time-kill Study to Compare the Antimicrobial Activity of Three Antimicrobial Surgical Incise Drapes by Chou Eyberg, Dan Morse, Linda Olson and Patrick Parks, 3M Corporation, St. Paul, MN, USA – Poster presented at SHEA in March 2009. 4. D. H. Johnston, J. A. Fairclough, et al. 1987 Rate of bacterial recolonization of the skin after preparation: four methods compared Br. J. Surg., Vol. 74, January, page 64 5. Dewan PA et al. 1987. The use of an iodophor-impregnated plastic incise drape in abdominal surgery - a controlled clinical trial. Aust N Z J Surg.; 57(11):859-63. 6. Yoshimura et al. 2003 Plastic iodophor drape during liver surgery operative use of the iodophor impregnated adhesive drape to prevent wound infection during high risk surgery. World J Surg.;27(6):685-8. 7. Calculating the cost of SSIs by Louise Frampton, Clinical Services Journal, September 2010 Vol 10 Issue 8, page 49-51 8. A J Mangram et al, “Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee,” Infection Control and Hospital Epidemiology 20 (April 1999) 250-278 9. Professor John Fairclough, Consultant Orthopaedic Surgeon, University Hospital of Wales, Cardiff. 2010 10. Data on file. Tech-Product-Dev-05-000101. Statistical analysis of Ioban incise drape framed delivery focus panel results. 11. Data on file. Clin-Index-Lims 08679. 3 3M Health Care Limited 3M Ireland 3M House Morley Street Loughborough Leicestershire LE11 1EP Telephone (01509) 611611 Facsimile (01509) 237288 The Iveagh Building The Park Carrickmines Dublin 18, Ireland Tel: 00 353 (01) 280 3555 Fax: 00 353 (01) 280 3509 3M and Ioban are trademarks of the 3M Company. © 3M 2012 IP031L