Jamal M Merei1. 1. Department of Pediatric Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Abstract
BACKGROUND/ PURPOSE: The covering of the sutured surgical wound with a sterile dressing is usually considered a routine conclusion to an aseptic operation. The wound is usually left dressed for a minimum of 3 to 5 days. The main purpose of dressing is protection of the wound against bacterial contamination that remains a significant source of postoperative morbidity. The aim of this study was to compare the infectious local risk when the clean pediatric surgical wounds were dressed or left exposed without dressing after the completion of wound closure. METHODS:Four hundred fifty-one patients with clean surgical wounds were randomized prospectively to receive dressing (n = 216) or have their wounds left exposed without any dressing (n = 235) after the completion of wound closure. RESULTS: In the group that received wound dressing, wound infection developed in 3 patients (1.4%), whereas in the group that had wounds exposed without any dressing, 4 patients (1.7%) developed wound infection. CONCLUSIONS: In children, there was no significant difference in terms of wound infection after applying dressing or leaving the clean surgical wounds exposed without any dressing after completion of wound closure. Dressing clean surgical wounds may be unnecessary.
RCT Entities:
BACKGROUND/ PURPOSE: The covering of the sutured surgical wound with a sterile dressing is usually considered a routine conclusion to an aseptic operation. The wound is usually left dressed for a minimum of 3 to 5 days. The main purpose of dressing is protection of the wound against bacterial contamination that remains a significant source of postoperative morbidity. The aim of this study was to compare the infectious local risk when the clean pediatric surgical wounds were dressed or left exposed without dressing after the completion of wound closure. METHODS: Four hundred fifty-one patients with clean surgical wounds were randomized prospectively to receive dressing (n = 216) or have their wounds left exposed without any dressing (n = 235) after the completion of wound closure. RESULTS: In the group that received wound dressing, wound infection developed in 3 patients (1.4%), whereas in the group that had wounds exposed without any dressing, 4 patients (1.7%) developed wound infection. CONCLUSIONS: In children, there was no significant difference in terms of wound infection after applying dressing or leaving the clean surgical wounds exposed without any dressing after completion of wound closure. Dressing clean surgical wounds may be unnecessary.
Authors: Dirk T Ubbink; Fleur E Brölmann; Peter M N Y H Go; Hester Vermeulen Journal: Adv Wound Care (New Rochelle) Date: 2015-05-01 Impact factor: 4.730
Authors: Jo C Dumville; Trish A Gray; Catherine J Walter; Catherine A Sharp; Tamara Page; Rhiannon Macefield; Natalie Blencowe; Thomas Kg Milne; Barnaby C Reeves; Jane Blazeby Journal: Cochrane Database Syst Rev Date: 2016-12-20
Authors: Barnaby C Reeves; Lazaros Andronis; Jane M Blazeby; Natalie S Blencowe; Melanie Calvert; Joanna Coast; Tim Draycott; Jenny L Donovan; Rachael Gooberman-Hill; Robert J Longman; Laura Magill; Jonathan M Mathers; Thomas D Pinkney; Chris A Rogers; Leila Rooshenas; Andrew Torrance; Nicky J Welton; Mark Woodward; Kate Ashton; Katarzyna D Bera; Gemma L Clayton; Lucy A Culliford; Jo C Dumville; Daisy Elliott; Lucy Ellis; Hannah Gould-Brown; Rhiannon C Macefield; Christel McMullan; Caroline Pope; Dimitrios Siassakos; Sean Strong; Helen Talbot Journal: Trials Date: 2017-08-29 Impact factor: 2.279