Rapid Responses

The CJA Online's Rapid Responses is a feature that facilitates rapid communication between readers and the publication's editor. Also known as eLetters to regular HighWire site visitors, this module posts "letters" that will neither be cited nor indexed.

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Electronic Letters to:

Cardiothoracic Anesthesia, Respiration and Airway:
Junichi Ogata, Kouichiro Minami, Hiroshi Miyamoto, Takafumi Horishita, Midori Ogawa, Takeyoshi Sata, and Hatsumi Taniguchi
Gargling with povidone-iodine reduces the transport of bacteria during oral intubation: [Le gargarisme avec un mélange de povidone-iode réduit le transport bactérien pendant l’intubation orale]
Can J Anesth 2004; 51: 932-936 [Abstract] [Full text] [PDF]

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Electronic letters published:

Chlorexine as better antimicrobial: Davide Cattano (24 November 2004)

Chlorexine as better antimicrobial 24 November 2004

Davide Cattano,
assistant anesthesiologist
AUSL 12 Viareggio, Lucca Italy and University of Pisa, Pisa Italy
Send letter to journal:
Re: Chlorexine as better antimicrobial

davidecattano{at}hotmail.com Davide Cattano

To the editor, I read with interest the article published by Junichi Ogata and collegues [1] and I found the topic of much importance. The practice of routine disinfection should certainly be adopted in view of reducing bacterial colonization of the airways secondary to a medical intervention (NTI or ETI and positioning of sopraglottic devices) but usually this is not done or considered. I am wondering why the authors did not consider the use of other antimicrobial medications that, for example, are used extensively in ENT and odontostomatology [2]. I am referring to a solution for gargling or toothpaste with Chlorhexidine digluconate 0.2% which it is able to reduce oral residential flora and resistant bacteria such as fusobacteria. I suggest the authors should design a controlled study using chlorhexidine in comparison to povidone iodine.
1.Junichi Ogata, Kouichiro Minami, Hiroshi Miyamoto, Takafumi Horishita, Midori Ogawa, Takeyoshi Sata, and Hatsumi Taniguchi Gargling with povidone-iodine reduces the transport of bacteria during oral intubation: [Le gargarisme avec un mélange de povidone-iode réduit le transport bactérien pendant l’intubation orale] Can J Anesth 2004; 51: 932-936
2.Luc J, Mroz C, Roques C, Ducani-Federlin M.[The bactericidal activity of mouthwashes containing 0.10%, 0.12% and 0.20% chlorhexidine digluconate. Bull Group Int Rech Sci Stomatol Odontol. 1998 Apr-Sep;40(2- 3):102-8.