Clinical efficacy of circular wound edge protector in preventing surgical site infection following open abdominal surgery
10.3969/j.issn.1671-9638.2016.06.006
- VernacularTitle:切口保护套预防开放性腹部手术后切口感染的临床效果
- Author:
Xiaoping HUANG
;
Yangjian PAN
;
Canliang TAN
;
Lixin LIU
- Publication Type:Journal Article
- Keywords:
surgical site infection;
incision protection;
open abdominal surgery;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2016;15(6):388-392
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of circular wound edge protector(CWEP)in preventing surgical site infection (SSI)following open abdominal surgery,analyze the related risk factors for postoperative SSI,and provide scientific basis for preventing SSI following open abdominal surgery.Methods 162 patients who underwent open abdominal surgery in a hospital from March 2014 to December 2015 were randomly divided into intervention group (used CWEP during surgery)and control group (used sterile gauze pad to protect incision).Length of hospital stay,cost of dressing change,and SSI between two groups were compared,risk factors for postoperative SSI were analyzed.Results Incidence of SSI in intervention group was lower than control group (14.81%[12/81]vs 34.57%[28/81],P <0.05);grade-A incision healing rate of intervention group was higher than control group(86.42% vs 66.67%,P <0.05).The cost of dressing change in intervention group was lower than control group([305.5 ± 176.7]yuan vs [431.6 ± 381.4 ]yuan,P = 0.008 ). Multivariate logistic regression analysis indicated that hypoproteinemia(OR,2.88[95%CI ,1.21-6.87]),body mass index ≥24(OR,3.11[95%CI ,1.12-8.66]),and blood loss≥400 mL(OR,3.98[95%CI ,1.36- 11.64])were independent risk factors for postoperative SSI,while CWEP use was the protective factor(OR,0.24[95%CI ,0.09-0.59]).Conclusion CWEP can effectively reduce the incidence of SSI following open abdominal surgery.
