Simple wound wash could slash surgery infections, major trial hints
NCT ID NCT04548661
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether washing surgical incisions with an antiseptic (povidone-iodine) or salt water before closing them can prevent infections. Over 2,700 adults having abdominal or groin surgery were randomly assigned to one of three groups: irrigation with povidone-iodine, irrigation with saline, or no irrigation. The main goal was to see if either irrigation method reduced surgical site infections within 30 days. If effective, this simple step could become a standard practice worldwide.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- povidone-iodine solution
- What this could lead to
- If it works, this simple, low-cost step could become standard practice to prevent surgical site infections, benefiting millions of patients.
- What could go wrong
- The trial is completed but results are not yet widely known. The effect may be small or not apply to all surgeries. Infection rates depend on many factors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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2,701 people
The number who actually took part.
- Started
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Aug 2023
- Finished
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Sep 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
All participants must meet all of the following inclusion criteria to participate in this study: 1. Aged 18 years or older; 2. Ontario Health Insurance Plan (OHIP) holder (for Ontario sites) And planned to undergo any one of the following surgical procedures: 3. a) Laparotomy, CDC Class II (clean-contaminated) or III (contaminated) incision b) Laparoscopy with a planned extraction site ≥3 cm, CDC Class II (clean-contaminated) or III (contaminated) incision c) Groin incision for open or hybrid arterial procedure All participants meeting any of the following exclusion criteria at baseline will be excluded from participation in this study: 1. Contraindication to receiving povidone-iodine irrigation (i.e., known allergy) 2. Any active skin or soft tissue infection (at any site, including gangrene) 3. Known or anticipated CDC Class IV (Dirty) incision
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hamilton Health Sciences - Juravinski Hospital
Hamilton, Ontario, Canada
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Health Sciences North
Greater Sudbury, Ontario, P3E 5J1, Canada
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Kingston Health Sciences Centre
Kingston, Ontario, Canada
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London Health Sciences Centre
London, Ontario, Canada
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Mackenzie Health
Richmond Hill, Ontario, Canada
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North York General Hospital
North York, Ontario, M2K 1E1, Canada
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Royal Victoria Regional Health Centre
Barrie, Ontario, Canada
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Shared Health Manitoba
Winnipeg, Manitoba, R3A 1R9, Canada
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St. Joseph's Health Centre
Toronto, Ontario, Canada
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St. Michael's Hospital
Toronto, Ontario, Canada
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Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
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The Ottawa Hospital
Ottawa, Ontario, K1H 8L6, Canada
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Thunder Bay Regional Health Sciences Centre
Thunder Bay, Ontario, Canada
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