Abstrak 
Perbandingan Kejadian Infeksi Pada Patah Tulang Kruris Terbuka Derajat III A Setelah Pencucian Luka Menggunakan Chloroxylenol 0,24% Dan Povidone Iodine 3% Diperiksa Dengan 99m Tc-ciprofloxacin Scan Di Rumah Sakit Hasan Sadikin Bandung
Indra N, Tandjung F, Rasyid H, Rahim A, Kartamihardja A
Unpad, Majalah Ortopaedi Indonesia Juni 2011 Volume XXXIX No. 1, pp 72-86
Inggris
Unpad, Majalah Ortopaedi Indonesia Juni 2011 Volume XXXIX No. 1, pp 72-86
99mTC-Ciprofloxacin, chloroxylenol, Open crural fracture grade IIIA, Povidone Iodine
The goals of the treatment of open crural fractures are the prevention of infection, reduction and fixation of the fracture, and restoration of function. Wound irrigation is an important part in the management of the open fracture. There are controversies about optimal additive for irrigation. Povidone iodine have been widely use as an anti septic in surgery and wound cleansing agent but it has side effects include delayed woundhealing, skin allergy and thyrotoxicosis reaction. Chloroxylenol is an antiseptic that capable to eliminate various microbes, including bacteria, mould, and methicillin Resistant Staphlococcus aureus (MRSA) within 15 seconds. 99mTC-Ciprofloxacin is a ciprofloxacin that bind to 99mTC. 99mTc- Ciprofloxacin have 85% sensitivity, 92% specificity, and 88% accuracy in detecting infection in orthopedic cases which seen as an increased of radioactivity uptake(hotspot). The amin of this clinical study was to compare the efficacy of chloroxylenol 0,24% with povidone iodine 3% in minimizing infection in wound irrigation of open crural fracture grade IIIA. 99mTC-Ciprofloxacin scan was done on the 7th day after irrigation. Analysis study conducted to analyze the role of sex, age, type of fixation, interval between trauma and surgical debridement in decreasing infection. There are 30 patients with open crural fracture grade IIIA included in this study from March to August 2009 consist of 25 male and 5 female. Patient were randomized grouped into two. Group I received irrigation with NaCI-Povidone iodine 3% and group II received NaCI- chloroxylenol 0,24%. On the Group I, 40% patient has hotspot on the 99mTC-Ciprofloxacinscan and 26,7% on group II. Statistical analysis showed that there is no significant differences between two group (p>0,05). In cunclusion, there was no statistically significant differences between chloroxylenol 0,24% and povidone iodine 3% in decreasing infection potential following wound irrigation of open crural fracture grade IIIA based on 99mTC-Ciprofloxacin scan at Hasan Sadikin Hospital Bandung.