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2010 | 82 | 8 | 464-468
Tytuł artykułu

Influence of Intraoperative Iodine Solution Lavage Followed by "Wound Scrubbing" Technique on SSI Frequency

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was to assess whether intraoperative use of the "wound scrubbing" technique (iodine solution lavage followed by intensive scrubbing of the wound with a surgical drape) reduces the number of surgical site infection (SSI) incidents, considering patients after colorectal surgery.Material and methods. The study group comprised 98 patients qualified towards colorectal surgery during the period between November, 2007 and November, 2008. Patients were divided into two groups: Fifty patients were subject to the "wound scrubbing" technique (group I), while 48 patients constituted the control group (group II) where the wound was treated traditionally-subcutaneous tissue hemostasis was assured, least traumatically. In case of both groups subcutaneous tissue swabs were collected before wound suturing. Primary cutaneous sutures were applied in all patients. The diagnosis of a surgical site infection was based on the criteria established by the National Nosocomial Infectious Surveillance (NNIS) group.Results. According to the NNIS criteria, superficial SSI was diagnosed in 12 patients (12.3%): 4 from the "wound scrubbing" group (8%) and 8 from the control group (16.7%). Deep tissue infections were not observed. Gram-negative bacteria were most often isolated, both in case of group II patients, and SSI cases. Considering the "wound scrubbing" group 66% of intraoperative swabs proved to be sterile.Conclusions. 1. The "wound scrubbing" technique reduces the risk of SSI in case of patients subject to colorectal surgery. 2. Microbial contamination of the postoperative wound (groups II-IV, according to the NNIS) before the introduction of cutaneous sutures directly influences the frequency of surgical site infections.
Wydawca

Rocznik
Tom
82
Numer
8
Strony
464-468
Opis fizyczny
Daty
wydano
2010-08-01
online
2010-09-22
Twórcy
  • Department of General and Gastroenterological Surgery and Clinical Nutrition, M. Kopernik Pomeranian Traumatology Center, Gdańs
autor
  • Department of General and Gastroenterological Surgery and Clinical Nutrition, M. Kopernik Pomeranian Traumatology Center, Gdańs
  • Department of General and Gastroenterological Surgery and Clinical Nutrition, M. Kopernik Pomeranian Traumatology Center, Gdańs
Bibliografia
  • Bielecki K: Zakażenia Chirurgiczne. Wyd. 1. Borgis Wyd. Medyczne; Warszawa 2007.
  • Culvier DH, Horan TC, Gaynes RP et al.: Surgical wound infection rates by wound class, operative procedure and patients risk index. Amer J Medicine 1991; 91, supl. 2B: 152-57.
  • Mangram AJ, Horan TC, Pearson ML et al.: Guidline for prevention of surgical site infection. Infection Control and Hosp Epid 1999; 20: 247-78.
  • Nylen, S, Carlsson B: Time factor, infection, frequency, and quantitative microbiology in hand injuries. Scand. J Plast Reconstr Surg 1980, 14: 185-89.[Crossref]
  • Howell J M, Chisholm CD: Outpatient wound preparation and care: a national survey. Ann Emerg Med 1992; 21: 976-81.[Crossref]
  • Custer J, Edlich RF, Prusak M et al.: Studies in the management of the contaminated wound: an assessment of the effectiveness of phisoHex and Betadine surgical scrub solutions. Am J Surg 1971; 121: 572-75.[Crossref]
  • Howell JM, Dhindsa HS, Stair TO et al.: Effect of Scrubbing and Irrigation on Staphylococcal and Streptococcal Counts in Contaminated Lacerations. Antimicrobial Agents and Chemotherapy 1993; 12: 2754-55.[Crossref]
  • Howell JM, Stair TO, Howell AW et al.: The effect of scrubbing and irrigation with normal saline, povidone iodine and cefazolin on wound bacterial counts in guinea pig model. Am J Emerg Med 1993; 11: 134-38.[PubMed][Crossref]
  • Stevenson TR, Thacker JG, Rodeheaver GT et al.: Cleansing the traumatic wound by high pressure syringe irrigation. JACEP 1976; 5: 17-21.[PubMed]
  • Cervantes-Sanchez CR, Gutierrez-Vega J, Vasquez-Caprizio JA et al.: Syringe pressure irrigation of subdermic tissue after appendectomy to decrease the incidence of postoperative wound infection. World J Surg 2000; 55(8): 24-25.
  • Salem RJ, Johnson J, Devitt P: Short term metronidazole therapy contrasted with povidone-iodine spray in the prevention of wound infection after appendicectomy. Br J Surg 1979; 66: 430-31.[Crossref]
  • Smith RL, Bohl JK, McElearney ST et al.: Wound infection after elective colorectal resection. Ann Surg 2004; 239(5): 599-605.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-010-0067-0
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