To our knowledge, there are no published papers detailing antisepsis f
or injection sites. In view of this, the efficacies of povidone-iodine
(PVP-I) ethanol solution and chlorhexidine (CH) ethanol, the agents m
ost commonly used for antisepsis of the operative field, were compared
. Before and after the injection site was disinfected with either of t
hese antiseptics, specimens of indigenous bacteria ria on the skin wer
e collected by the cylinder scrub method, and the bacteria reduction r
ate and the reduction factor (RF) were determined to evaluate the effi
cacy of antisepsis. The bacteria reduction rate and RF value obtained
for PVP-I ethanol were 95.1 +/- 11.2 and 2.1 +/- 0.9% and those for CH
ethanol were 93.5 +/- 9.3 and 1.8 +/- 0.9%. Since there were individu
al differences in cell count before antisepsis, no significant differe
nce was seen in bactericidal activity. However, slightly more favorabl
e results were obtained with PVP-I ethanol. Although it is impossible
to eradicate completely the indigenous microbes with currently availab
le methods, it is considered important for the prevention of infection
of the injection site to decrease bacterial counts as much as possibl
e.