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Publication Type: Safety Information
Single or Multiple Incident: Multiple
Date: 8/21/2021 12:00:00 AM
Country: Australia
This alert discusses the difference between sterile and non-sterile povidone iodine solution and the off-label use of the non-sterile product. The use of non-sterile preparations in sterile body sites is not recommended. Use outside of the registered indications is “off-label”. The alert provides guidance for off-label use of povidone iodine and procedures to mitigate risk of mix-up between sterile and non-sterile products.

Additional Details

Medication/Gas/Fluid:
antiseptic, povidone-iodine sterile, povidone - iodine non-sterile

Environment / Equipment
  1. All clinical areas must have processes in place for storage arrangements and communication that distinguish sterile and/or non-sterile povidone-iodine solution solutions.
Rules / Policies / Procedures
  1. Off-label use of povidone-iodine solution should be approved by the local Drug and Therapeutic Committee (D&TC).
  2. Clinicians (including nurses) delivering treatment involving povidone-iodine solution , should not change treatment plans without prior consultation of the primary treating team.
Training
  1. All relevant clinicians are aware that povidone-iodine solution is available in both sterile and non-sterile forms, and that sterile povidone-iodine solution is the recommended product for use in a sterile field.

Povidone-Iodine Solution Use in NSW Hospitals - Update