key: cord-0911231-uty61t6r authors: Khan, Mubarak Muhamed; Parab, Sapna Ramkrishna title: 0.5% povidone iodine irrigation in otorhinolaryngology surgical practice during COVID 19 pandemic() date: 2020-08-19 journal: Am J Otolaryngol DOI: 10.1016/j.amjoto.2020.102687 sha: e1ec91c467c91fdcc0772a202867ea2119ec9d80 doc_id: 911231 cord_uid: uty61t6r nan The world, at present, is facing a terrible health havoc created by the COVID 19 pandemic. It has taken away the toll of lives since its outbreak in Wuhan. Several doctors, nurses and others health care workers caring for COVID-19 patients are infected with the disease and are dying from the virus. During the unlock phase, the routine medical services are resuming back along with the surgical elective procedures with due safety measures. We, otorhinolaryngologists are the hardest hit medical specialities amongst all and the area we coblation tonsillectomies) and head and neck surgeries. Inorder to achieve virucidal action of 5% PVP-I, the irrigation fluid should be in contact with the tissues for 15 seconds 10 . Preparation of 0.5 percent PVP-I irrigation: 1. Add 25 ml of 10% PVP -I to 500 ml Normal Saline to make it into 0.5 percent PVP-I irrigation solution Advantages of 0.5% PVP-I: 1. light coloured 2. 0.5% PVP-I is easy to prepare and is inexpensive 3. No reported allergies 4. Though not proved, it probably reduces the viral titres of SARS CoV 2 5. does not stain the tissues REFERENCES: 1 Temporal dynamics in viral shedding and transmissibility of COVID-19. Nature medicine News Flash!-SARS-CoV-2 Isolated From the Middle Ear and Mastoid SARS-CoV-2 Virus Isolated From the Mastoid and Middle Ear: Implications for COVID-19 Precautions During Ear Surgery Acute otitis media and respiratory viruses Polymerase chain reactionbased detection of rhinovirus, respiratory syncytial virus, and coronavirus in otitis media with effusion In Vitro Bactericidal and Virucidal Efficacy of Povidone-Iodine Gargle/Mouthwash Against Respiratory and Oral Tract Pathogens Rapid and Effective Virucidal Activity of Povidone-Iodine Products Against Middle East Respiratory Syndrome Coronavirus Modified Vaccinia Virus Ankara (MVA) Rapid In-Vitro Inactivation of Severe Acute Respiratory Syndrome Coronavirus Using Povidone-Iodine Oral Antiseptic Rinse Preoperative decolonization to reduce infections in urgent lower extremity repairs Optimizing the antisepsis protocol: Effectiveness of 3 povidone-iodine 1.0% applications versus a single application of povidone-iodine 5.0