Use of Hibiscrub + Iodine

Re: Use of Hibiscrub + Iodine

Melyssa Ford — Mon, 25 Apr 2011 21:00:12 GMT

Thanks for all your replies - the info was very useful.

Re: Use of Hibiscrub + Iodine

Honeybadger — Wed, 08 Sep 2010 14:19:13 GMT

A vet I once worked with said she had seen Iodine burn the skin if not rinsed off properly. Has anyone ever seen this?

Re: Use of Hibiscrub + Iodine

Jeniflower — Wed, 08 Sep 2010 01:50:52 GMT

Has anyone else heard of thyroid conditions (in humans) being associated with the use of iodine?

I've not looked into it myself but my old head nurse was chirping on about it once and wanted it out of our hospital as a consequence.

Re: Use of Hibiscrub + Iodine

Phrin Vernon RVN — Tue, 07 Sep 2010 22:36:26 GMT

I too can't understand why chlorhex & iodine would be used together?

If it's because of vets scrubbing with iodine then operating on a chlorhex prepped patient, surely that won't matter if the vet wears gloves?

We use chlorhex on all but eye, ear, mm surgery, and open wounds, which are all prepped with diluted non foaming iodine and sterile saline. The vets at our branch all scrub up with chlorhex, and (mostly!) wear gloves! At our main branch they scrub up with iodine and always wear gloves.

Re: Use of Hibiscrub + Iodine

Stella Skelton RVN — Tue, 07 Sep 2010 15:36:00 GMT

we use hibiscrub on all animals and wound sites where practicable...then chlorhexidine...no iodine...in fact...we very rarely use iodine...

Re: Use of Hibiscrub + Iodine

Rachel Jayne — Tue, 07 Sep 2010 15:17:42 GMT

[quote user="Kim Blowing RVN"]

The reason I ask about rabbits is because the practice where I am locuming at the moment have a sign up saying not to use it. I've always used it and never had a problem.

[/quote]

I've always used hibi (diluted obviously) on buns for scrubbing up & have never seen problems either....

Re: Use of Hibiscrub + Iodine

Kim Buckley — Thu, 26 Aug 2010 07:08:04 GMT

The reason I ask about rabbits is because the practice where I am locuming at the moment have a sign up saying not to use it. I've always used it and never had a problem.

Re: Use of Hibiscrub + Iodine

Kim Buckley — Thu, 26 Aug 2010 07:05:12 GMT

[quote user="Nick BATFINK Shackleton Dip AVN(surgical)VN MBVNA"]

The foaming one is the scrub solution!

The non-foaming one is the antiseptic solution.

[/quote]

We had seperate bottles. I just never realised they were different. Oops!

Re: Use of Hibiscrub + Iodine

Maisy — Wed, 25 Aug 2010 20:09:16 GMT

With rabbits there was also some concern that Hibi dried their skin which affected some post op healing. Some chlorhex preparations contain emolients though which prevents this.

Re: Use of Hibiscrub + Iodine

sisterscope1 — Wed, 25 Aug 2010 18:37:45 GMT

Re: rabbits - not chlorhexidine gluconate as far as I'm aware. Some chlorhexidine preparations contain cetrimide, e.g Savlon, which is corrosive to rabbit skin.

A lot of data sheets, including chlorhexidine gluconate skin preps will list rabbits under the toxicology section of the data sheet - something along the lines of LD50 Rabbit xxxmg/l. This is the lethal dose required to kill 50% of the test subjects. I don't know it off the top of my head for a rabbit, but I suspect it would far exceed the concentrations used commercially. I'll look it up!

Re: Use of Hibiscrub + Iodine

Nick Shackleton — Wed, 25 Aug 2010 18:30:46 GMT

The foaming one is the scrub solution!

The non-foaming one is the antiseptic solution.

Re: Use of Hibiscrub + Iodine

Kim Buckley — Wed, 25 Aug 2010 18:26:53 GMT

[quote user="Nick 'BATFINK' Shackleton Dip AVN (surgical) VN MB"]

Just remember that if your scrubbing eyes or open wounds/reactive skin you need to use the non-foaming iodine. As the foaming version still has soap in it.

[/quote]

Don't think I've ever seen the foaming iodine. Maybe that's why I didn't think it wasn't as good as hibi at getting things clean.

Re: Use of Hibiscrub + Iodine

Nick Shackleton — Wed, 25 Aug 2010 18:24:58 GMT

Just remember that if your scrubbing eyes or open wounds/reactive skin you need to use the non-foaming iodine. As the foaming version still has soap in it.

Re: Use of Hibiscrub + Iodine

Kim Buckley — Wed, 25 Aug 2010 18:23:08 GMT

I used to work with a few vets who used it to scrub up with it because they were allergic to hibi. Apart for things like eyes and open wounds I always use hibi. Feel it's gets dirt off dirty dogs a bit better.

Is there anything to suggest you shouldn't use hibi on rabbits?

Re: Use of Hibiscrub + Iodine

Sophie Bedford RVN CertVNECC — Wed, 25 Aug 2010 18:18:51 GMT

[quote user="Kim Blowing RVN"]I'm a bit confused as I have never heard of using them together and wouldn't know why someone would anyway??[/quote]

I'm the same, have never heard of mixing them, my understanding was that Hibi was for 'closed' skin and iodine was better if an open wound or around the eye where skin is more sensitive?? Useful science to know though!

Re: Use of Hibiscrub + Iodine

Nick Shackleton — Wed, 25 Aug 2010 18:18:45 GMT

the only time I use Iodine would be the non-soaping version on eyes, mucous membranes, open wounds or patients that had allergic reactions to hibbi

One of my previous bosses used to like scrubbing with it. He also liked his nurses to scrub up using it so he could see where they were scrubbing, cos of the brown tinge on their arms lol

I liked scrubbing up with it, not used it in years to scrub my hands with.

Re: Use of Hibiscrub + Iodine

Kim Buckley — Wed, 25 Aug 2010 18:13:12 GMT

I keep meaning to write something on this thread.

I'm a bit confused as I have never heard of using them together and wouldn't know why someone would anyway??

I personally prefer hibiscrub as I think iodine smells horrible!

Re: Use of Hibiscrub + Iodine

Claire Cameron — Tue, 24 Aug 2010 11:15:12 GMT

[quote user="Nick 'BATFINK' Shackleton Dip AVN (surgical) VN MB"]

[quote user="sisterscope1"]

Chlorhexidine gluconate is a cationic bisdiguanide; povidine-iodine is a preparation of iodine and the anionic carrier molecule polyvinylpyrollidone. Mixing the two together, either in a bottle or on the surface of the patient's skin, would form new chemicals that do not exhibit antimicrobial properties.

[/quote]

I always thought they inactivated each other, but never knew the science behind it, cheers SS

[/quote]

I second that, thought the same but never knew why Thanks

Re: Use of Hibiscrub + Iodine

Nick Shackleton — Mon, 23 Aug 2010 19:26:26 GMT

[quote user="sisterscope1"]

[/quote]

I always thought they inactivated each other, but never knew the science behind it, cheers SS

Re: Use of Hibiscrub + Iodine

Claire Cameron — Mon, 23 Aug 2010 14:21:53 GMT

[quote user="sisterscope1"]

[/quote]

Re: Use of Hibiscrub + Iodine

sisterscope1 — Sat, 21 Aug 2010 17:43:46 GMT

Re: Use of Hibiscrub + Iodine

Steph Phillips — Thu, 19 Aug 2010 13:21:50 GMT

In the 10 years i've worked in practice, using:

Hibi + spray with surgical spirit + then iodine = never have I seen a wound break down because of it..

would be interesting though to know why they shouldn't be used together - like I said, never ever had a problem.