Los antisépticos yodados no son inocuos
Iodine antiseptics are not harmless
J. Arena Ansoteguia,
, J.I. Emparanza Knörrb
Autor para correspondencia
jarena@chdo.osakidetza.net
Correspondencia: Servicio de Pediatría. Hospital Aránzazu. P. Dr. Beguiristáin, s/n. 20014 San Sebastián
Correspondencia: Servicio de Pediatría. Hospital Aránzazu. P. Dr. Beguiristáin, s/n. 20014 San Sebastián
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"apellidos" => "Emparanza Knörr" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Metabolopatías. Servicio de Pediatría. Hospital Aránzazu. San Sebastián" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Epidemiología Clínica. Hospital Aránzazu. San Sebastián" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Pediatría. Hospital Aránzazu. P. Dr. Beguiristáin, s/n. 20014 San Sebastián" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Iodine antiseptics are not harmless" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-04-30" "fechaAceptado" => "2000-05-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186393" "palabras" => array:5 [ 0 => "Povidona-yodada" 1 => "Yodo" 2 => "Hormonas tiroideas" 3 => "Hipotiroidismo" 4 => "Recién nacido" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186394" "palabras" => array:5 [ 0 => "Providone-iodine" 1 => "Iodine" 2 => "Thyroid hormones" 3 => "Hypothyroidism" 4 => "Newborn" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El uso de antisépticos yodados es una práctica aún extendida en nuestras maternidades. La aplicación de antisépticos yodados tanto a la madre en los momentos previos al parto como al recién nacido provoca una sobrecarga yodada incontrolada.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La absorción del yodo a través de la piel de la madre es tan rápida que la yodemia en sangre de cordón aumenta en un 50% tras la aplicación en los momentos previos al expulsivo de antisépticos yodados a la madre.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La sobrecarga yodada en la madre se manifiesta con aumento de la yoduria y del contenido de yodo en la leche hasta 10 veces en los días inmediatamente posteriores al parto, si las curas de la episiotomía se realizan con povidona yodada. La elevada concentración de yodo en la leche agrava la sobrecarga al recién nacido.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Especialmente en zonas con déficit nutricional de yodo, esta sobrecarga yodada puede provocar un bloqueo transitorio del tiroides neonatal que tiene repercusiones negativas sobre el programa de detección del hipotiroidismo congénito, aumentando el número de falsos positivos, y sus inmediatas consecuencias: ansiedad de los padres y un importante aumento de los costes del programa. Más graves son las consecuencias que este bloqueo puede producir en el desarrollo del recién nacido.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Parece ineludible realizar una llamada de atención sobre las alteraciones que provocan los antisépticos yoda-dos y desaconsejar su uso en el período perinatal</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The use of iodine-containing antiseptics is still common in obstetrics and neonatology. Topical iodine given both to the mother before delivery and to the neonate causes iodine overload.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The absorption of maternal iodine through the skin is so fast that iodine in the blood of the umbilical cord increases by 50% a few minutes before delivery.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Iodine overload also occurs in the mother. Urinary and breast-milk iodine are increased more than 10-fold in the days after delivery if providone-iodine is used in episiotomy.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The overload in the neonate is even higher if breast-fed. Particularly in iodine-deficient areas, this overload can produce thyroid blockade with undesirable effects in congenital hypothyroidism screening, raising the number of false positives and its consequences: parental anxiety and screening costs. The potential effects that this thyroid blockade can produce in the neonate are even more serious.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Attention should be drawn to the undesirable effects of iodine antiseptics and their use in the perinatal period should be avoided</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:55 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sobrecarga yodada al recién nacido por utilizar PVP-yodada para la preparación perineal materna en el parto vaginal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. Arena" 1 => "J. Emparanza" 2 => "M.J. San Millán" 3 => "A. Garrido" 4 => "I. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 6 | 15 | 21 |
| 2024 Octubre | 38 | 68 | 106 |
| 2024 Septiembre | 45 | 71 | 116 |
| 2024 Agosto | 52 | 131 | 183 |
| 2024 Julio | 46 | 77 | 123 |
| 2024 Junio | 55 | 57 | 112 |
| 2024 Mayo | 38 | 64 | 102 |
| 2024 Abril | 34 | 56 | 90 |
| 2024 Marzo | 38 | 67 | 105 |
| 2024 Febrero | 49 | 74 | 123 |
| 2024 Enero | 37 | 57 | 94 |
| 2023 Diciembre | 27 | 27 | 54 |
| 2023 Noviembre | 41 | 98 | 139 |
| 2023 Octubre | 25 | 76 | 101 |
| 2023 Septiembre | 25 | 42 | 67 |
| 2023 Agosto | 33 | 46 | 79 |
| 2023 Julio | 47 | 49 | 96 |
| 2023 Junio | 44 | 68 | 112 |
| 2023 Mayo | 40 | 64 | 104 |
| 2023 Abril | 35 | 39 | 74 |
| 2023 Marzo | 30 | 43 | 73 |
| 2023 Febrero | 39 | 33 | 72 |
| 2023 Enero | 41 | 40 | 81 |
| 2022 Diciembre | 47 | 32 | 79 |
| 2022 Noviembre | 71 | 78 | 149 |
| 2022 Octubre | 31 | 95 | 126 |
| 2022 Septiembre | 30 | 53 | 83 |
| 2022 Agosto | 32 | 71 | 103 |
| 2022 Julio | 22 | 57 | 79 |
| 2022 Junio | 24 | 44 | 68 |
| 2022 Mayo | 23 | 56 | 79 |
| 2022 Abril | 42 | 61 | 103 |
| 2022 Marzo | 30 | 79 | 109 |
| 2022 Febrero | 24 | 71 | 95 |
| 2022 Enero | 39 | 77 | 116 |
| 2021 Diciembre | 27 | 75 | 102 |
| 2021 Noviembre | 31 | 76 | 107 |
| 2021 Octubre | 36 | 97 | 133 |
| 2021 Septiembre | 24 | 68 | 92 |
| 2021 Agosto | 20 | 36 | 56 |
| 2021 Julio | 24 | 39 | 63 |
| 2021 Junio | 27 | 92 | 119 |
| 2021 Mayo | 28 | 62 | 90 |
| 2021 Abril | 64 | 108 | 172 |
| 2021 Marzo | 76 | 44 | 120 |
| 2021 Febrero | 83 | 56 | 139 |
| 2021 Enero | 51 | 42 | 93 |
| 2020 Diciembre | 51 | 44 | 95 |
| 2020 Noviembre | 17 | 35 | 52 |
| 2020 Octubre | 26 | 34 | 60 |
| 2020 Septiembre | 22 | 23 | 45 |
| 2020 Agosto | 28 | 45 | 73 |
| 2020 Julio | 34 | 50 | 84 |
| 2020 Junio | 46 | 34 | 80 |
| 2020 Mayo | 76 | 35 | 111 |
| 2020 Abril | 59 | 22 | 81 |
| 2020 Marzo | 55 | 22 | 77 |
| 2020 Febrero | 36 | 30 | 66 |
| 2020 Enero | 29 | 23 | 52 |
| 2019 Diciembre | 39 | 35 | 74 |
| 2019 Noviembre | 27 | 25 | 52 |
| 2019 Octubre | 23 | 23 | 46 |
| 2019 Septiembre | 21 | 32 | 53 |
| 2019 Agosto | 49 | 17 | 66 |
| 2019 Julio | 47 | 45 | 92 |
| 2019 Junio | 34 | 40 | 74 |
| 2019 Mayo | 44 | 31 | 75 |
| 2019 Abril | 42 | 30 | 72 |
| 2019 Marzo | 27 | 22 | 49 |
| 2019 Febrero | 29 | 9 | 38 |
| 2019 Enero | 22 | 11 | 33 |
| 2018 Diciembre | 31 | 18 | 49 |
| 2018 Noviembre | 28 | 14 | 42 |
| 2018 Octubre | 43 | 11 | 54 |
| 2018 Septiembre | 17 | 6 | 23 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Junio | 7 | 0 | 7 |
| 2018 Mayo | 4 | 0 | 4 |
| 2018 Abril | 13 | 0 | 13 |
| 2018 Marzo | 10 | 0 | 10 |
| 2018 Febrero | 8 | 0 | 8 |
| 2018 Enero | 10 | 0 | 10 |
| 2017 Diciembre | 12 | 0 | 12 |
| 2017 Noviembre | 12 | 0 | 12 |
| 2017 Octubre | 16 | 0 | 16 |
| 2017 Septiembre | 14 | 0 | 14 |
| 2017 Agosto | 10 | 0 | 10 |
| 2017 Julio | 18 | 3 | 21 |
| 2017 Junio | 18 | 8 | 26 |
| 2017 Mayo | 27 | 15 | 42 |
| 2017 Abril | 18 | 3 | 21 |
| 2017 Marzo | 25 | 19 | 44 |
| 2017 Febrero | 14 | 10 | 24 |
| 2017 Enero | 13 | 5 | 18 |
| 2016 Diciembre | 45 | 10 | 55 |
| 2016 Noviembre | 78 | 5 | 83 |
| 2016 Octubre | 76 | 14 | 90 |
| 2016 Septiembre | 79 | 5 | 84 |
| 2016 Agosto | 49 | 4 | 53 |
| 2016 Julio | 32 | 4 | 36 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Abril | 2 | 0 | 2 |
| 2016 Marzo | 1 | 0 | 1 |
| 2016 Febrero | 2 | 0 | 2 |
| 2016 Enero | 3 | 0 | 3 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Noviembre | 0 | 13 | 13 |
| 2015 Octubre | 0 | 8 | 8 |
| 2015 Septiembre | 1 | 9 | 10 |
| 2015 Agosto | 1 | 13 | 14 |
| 2015 Julio | 6 | 0 | 6 |
| 2015 Junio | 12 | 0 | 12 |
| 2015 Mayo | 20 | 0 | 20 |
| 2015 Abril | 14 | 0 | 14 |
| 2015 Marzo | 9 | 0 | 9 |
| 2015 Febrero | 14 | 0 | 14 |
| 2015 Enero | 17 | 0 | 17 |
| 2014 Diciembre | 18 | 1 | 19 |
| 2014 Noviembre | 6 | 0 | 6 |
| 2014 Octubre | 6 | 1 | 7 |
| 2014 Septiembre | 5 | 5 | 10 |
| 2014 Agosto | 4 | 1 | 5 |
| 2014 Julio | 9 | 2 | 11 |
| 2014 Junio | 11 | 3 | 14 |
| 2014 Mayo | 25 | 3 | 28 |
| 2014 Abril | 15 | 4 | 19 |
| 2014 Marzo | 10 | 9 | 19 |
| 2014 Febrero | 9 | 6 | 15 |
| 2014 Enero | 11 | 6 | 17 |
| 2013 Diciembre | 20 | 9 | 29 |
| 2013 Noviembre | 22 | 10 | 32 |
| 2013 Octubre | 49 | 12 | 61 |
| 2013 Septiembre | 17 | 16 | 33 |
| 2013 Agosto | 15 | 7 | 22 |
| 2013 Julio | 2 | 2 | 4 |
| 2013 Junio | 3 | 2 | 5 |
| 2013 Mayo | 1 | 2 | 3 |
| 2013 Abril | 3 | 4 | 7 |
| 2013 Marzo | 3 | 3 | 6 |
| 2013 Febrero | 12 | 2 | 14 |
| 2013 Enero | 11 | 2 | 13 |
| 2012 Diciembre | 10 | 1 | 11 |
| 2012 Noviembre | 7 | 2 | 9 |
| 2012 Octubre | 8 | 2 | 10 |
| 2012 Septiembre | 1 | 1 | 2 |
| 2000 Junio | 3368 | 0 | 3368 |
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