ROLE OF PER-OPERATIVE WOUND IRRIGATION IN PROPHYLAXIS OF SURGICAL SITE INFECTION IN CLEAN CONTAMINATED WOUNDS
Objective: To compare per-operative normal saline wound irrigation prior to closure with conventional simple wound closure without irrigation in terms of development of surgical site infection (SSI) in clean contaminated wounds. Study Design: Randomized controlled trial. Place and Duration...
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| Autores principales: | , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Army Medical College Rawalpindi
2019
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/05cd524d6bff4b5e9a5c83a71787f99b |
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| Sumario: | Objective:
To compare per-operative normal saline wound irrigation prior to closure with conventional simple wound closure without irrigation in terms of development of surgical site infection (SSI) in clean contaminated wounds.
Study Design: Randomized controlled trial.
Place and Duration of Study: Department of Surgery, Combined Military Hospital Dera Nawab Sahib, from Nov 2014 to Nov 2016.
Material and Methods:
Group A and group B had 355 patients each. Group A was subjected to per-operative surgical wound irrigation with 300 ml of normal saline prior to skin closure while group B was subjected to conventional simple closure of surgical wound without any kind of wound irrigation. Development of postoperative SSI was checked till 30th post-operative day (POD). A p-value ≤0.05 was considered statistically significant.
Results:
Postoperative SSI was comparatively less in group A (4.5%) as compared to group B (10.2%) which was statistically significant (p 0.004).
Conclusion:
Per-operative surgical wound irrigation was found superior to conventional simple wound closure in terms of development of SSI in clean contaminated cases. |
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