Edin Mujagic1, Jasmin Zeindler2, Michael Coslovsky3, Henry Hoffmann4, Savas D Soysal5, Robert Mechera6, Marco von Strauss7, Tarik Delko8, Franziska Saxer9, Richard Glaab10, Rebecca Kraus11, Alexandra Mueller12, Gaudenz Curti13, Lorenz Gurke14, Marcel Jakob15, Walter R Marti16, Walter P Weber17. 1. Department of Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: edin.mujagic@usb.ch. 2. Department of Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: jasmin.zeindler@usb.ch. 3. Clinical Trial Unit, University of Basel and University Hospital Basel, Spitalstrasse 12, 4031, Basel, Switzerland. Electronic address: michael.coslovsky@usb.ch. 4. Department of Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: henry.hoffmann@usb.ch. 5. Department of Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: savas.soysal@usb.ch. 6. Department of Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: robert.mechera@usb.ch. 7. Department of Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: marco.vonstrauss@usb.ch. 8. Department of Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: tarik.delko@usb.ch. 9. Department of Orthopedic Trauma Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: franziska.saxer@usb.ch. 10. Department of Surgery, Kantonsspital Aarau, Tellstrasse 25, 5001, Aarau, Switzerland. Electronic address: richard.glaab@ksa.ch. 11. Department of Surgery, Kantonsspital Aarau, Tellstrasse 25, 5001, Aarau, Switzerland. Electronic address: rebecca_kraus@bluewin.ch. 12. Department of Surgery, Kantonsspital Aarau, Tellstrasse 25, 5001, Aarau, Switzerland. Electronic address: alexandracharlotte.mueller@insel.ch. 13. Department of Surgery, Kantonsspital Aarau, Tellstrasse 25, 5001, Aarau, Switzerland. Electronic address: curti@chirurgieaarau.ch. 14. Department of Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: lorenz.guerke@usb.ch. 15. Department of Orthopedic Trauma Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: marcel.jakob@usb.ch. 16. Department of Surgery, Kantonsspital Aarau, Tellstrasse 25, 5001, Aarau, Switzerland. Electronic address: martiwr@bluewin.ch. 17. Department of Surgery, University of Basel and University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. Electronic address: walter.weber@usb.ch.
Abstract
BACKGROUND: Surgical drains are widely used despite limited evidence in their favor. This study describes the associations between drains and surgical site infections (SSI). METHODS: This prospective observational double center study was performed in Switzerland between February 2013 and August 2015. RESULTS: The odds of SSI in the presence of drains were increased in general (OR 2.41, 95%CI 1.32-4.30, p = 0.004), but less in vascular and not in orthopedic trauma surgery. In addition to the surgical division, the association between drains and SSI depended significantly on the duration of surgery (p = 0.01) and wound class (p = 0.034). Furthermore, the duration of drainage (OR 1.24, 95%CI 1.15-1.35, p < 0.001), the number (OR 1.74, 95%CI 1.09-2.74, p = 0.019) and type of drains (open versus closed: OR 3.68, 95%CI 1.88, 6.89, p < 0.001) as well as their location (overall p = 0.002) were significantly associated with SSI. CONCLUSIONS: The general use of drains is discouraged. However, drains may be beneficial in specific surgical procedures.
RCT Entities:
BACKGROUND: Surgical drains are widely used despite limited evidence in their favor. This study describes the associations between drains and surgical site infections (SSI). METHODS: This prospective observational double center study was performed in Switzerland between February 2013 and August 2015. RESULTS: The odds of SSI in the presence of drains were increased in general (OR 2.41, 95%CI 1.32-4.30, p = 0.004), but less in vascular and not in orthopedic trauma surgery. In addition to the surgical division, the association between drains and SSI depended significantly on the duration of surgery (p = 0.01) and wound class (p = 0.034). Furthermore, the duration of drainage (OR 1.24, 95%CI 1.15-1.35, p < 0.001), the number (OR 1.74, 95%CI 1.09-2.74, p = 0.019) and type of drains (open versus closed: OR 3.68, 95%CI 1.88, 6.89, p < 0.001) as well as their location (overall p = 0.002) were significantly associated with SSI. CONCLUSIONS: The general use of drains is discouraged. However, drains may be beneficial in specific surgical procedures.
Authors: Joseph D Bozzay; Patrick F Walker; David W Schechtman; Faraz Shaikh; Laveta Stewart; David R Tribble; Matthew J Bradley Journal: J Surg Res Date: 2020-08-29 Impact factor: 2.192
Authors: Rachel L O'Donnell; Georgios Angelopoulos; James P Beirne; Ioannis Biliatis; Helen Bolton; Melissa Bradbury; Elaine Craig; Ketan Gajjar; Michelle L Mackintosh; Wendy MacNab; Thumuluru Kavitha Madhuri; Mark McComiskey; Eva Myriokefalitaki; Claire L Newton; Nithya Ratnavelu; Sian E Taylor; Amudha Thangavelu; Sarah A Rhodes; Emma J Crosbie; Richard J Edmondson; Yee-Loi Louise Wan Journal: BMJ Open Date: 2019-01-24 Impact factor: 2.692