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International Journal of Colorectal Disease

Published in:

01-09-2012 | Original Article

Ring drape do not protect against surgical site infections in colorectal surgery: a randomised controlled study

Authors: Peter Baier, Marina Kiesel, Carolin Kayser, Andreas Fischer, Ulrich T. Hopt, Stefan Utzolino

Published in: International Journal of Colorectal Disease | Issue 9/2012

Abstract

Introduction

Surgical site infections (SSIs) remain a major problem in colorectal surgery.

Method

In this prospective, randomised study, we compared two kinds of wound protection, namely, “plastic ring drape” versus “standard cloth towels”. One hundred one patients were randomised to the control group (wet cloth towels) and 98 to the study cohort (ring drape). SSIs were classified according to Centers for Disease Control and Prevention recommendations.

Discussion

In the control group, 30 patients had an SSI, whereas 20 did so in the study group. This difference was not significant (p = 0.131).

Conclusion

Plastic ring drape for wound protection does not guard against SSIs in colorectal surgery.

Psaila JV, Wheeler MH, Crosby DL (1977) The role of plastic wound drapes in the prevention of wound infection following abdominal surgery. Br J Surg 64(10):729–732PubMedCrossRef

Nyström PO, Broomé A, Höjer H, Ling L (1984) A controlled trial of a plastic wound ring drape to prevent contamination and infection in colorectal surgery. Dis Colon Rectum 27(7):451–453PubMedCrossRef

Sookhai S, Redmond HP, Deasy JM (1999) Impervious wound-edge protector to reduce postoperative wound infection: a randomised, controlled trial. Lancet 353(9164):1585PubMedCrossRef

Kercher KW, Nguyen TH, Harold KL, Poplin ME, Matthews BD, Sing RF, Heniford BT (2004) Plastic wound protectors do not affect wound infection rates following laparoscopic-assisted colectomy. Surg Endosc 18(1):148–151, Epub 2003 Nov 21PubMedCrossRef

Centers for Disease Control and Prevention. www.cdc.gov/ncidod/dhqp/pdf/guidelines/SSI.pdf

Baier PK, Glück NC, Baumgartner U, Adam U, Fischer A, Hopt UT (2010) Subcutaneous Redon drains do not reduce the incidence of surgical site infections after laparotomy. A randomized controlled trial on 200 patients. Int J Colorectal Dis 25(5):639–643PubMedCrossRef

Nationales Referenzzentrum für Surveillance von nosokomialen Infektionen. http://www.nrz-hygiene.de/surveillance/kiss/op-kiss/

Englesbe MJ, Brooks L, Kubus J, Luchtefeld M, Lynch J, Senagore A, Eggenberger JC, Velanovich V, Campbell DA Jr (2010) A statewide assessment of surgical site infection following colectomy: the role of oral antibiotics. Ann Surg 252(3):514–519PubMed

European Centre for Disease Prevention and Control. http://www.ecdc.europa.eu/IPSE/helicshome.htm

10.

Howard DD, White CQ, Harden TR, Ellis CN (2009) Incidence of surgical site infections postcolorectal resections without preoperative mechanical or antibiotic bowel preparation. Am Surg 75(8):659–663PubMed

11.

Pena-Soria MJ, Mayol JM, Anula R, Arbeo-Escolar A, Fernandez-Represa JA (2008) Single-blinded randomized trial of mechanical bowel preparation for colon surgery with primary intraperitoneal anastomosis. J Gastrointest Surg 12(12):2103–2108PubMedCrossRef

12.

Itani KM, Jensen EH, Finn TS, Tomassini JE, Abramson MA (2008) Effect of body mass index and ertapenem versus cefotetan prophylaxis on surgical site infection in elective colorectal surgery. Surg Infect (Larchmt) 9(2):131–137CrossRef

13.

Itani KM, Wilson SE, Awad SS, Jensen EH, Finn TS, Abramson MA (2007) Polyethylene glycol versus sodium phosphate mechanical bowel preparation in elective colorectal surgery. Am J Surg 193(2):190–194PubMedCrossRef

14.

Tanner J, Khan D, Aplin C, Ball J, Thomas M, Bankart J (2009) Post-discharge surveillance to identify colorectal surgical site infection rates and related costs. J Hosp Infect 72(3):243–250PubMedCrossRef

15.

Dindo D, Hahnloser D, Clavien PA (2010) Quality assessment in surgery: riding a lame horse. Ann Surg 251(4):766–771PubMedCrossRef

Title: Ring drape do not protect against surgical site infections in colorectal surgery: a randomised controlled study
Authors: Peter Baier
Marina Kiesel
Carolin Kayser
Andreas Fischer
Ulrich T. Hopt
Stefan Utzolino
Publication date: 01-09-2012
Publisher: Springer-Verlag
Published in: International Journal of Colorectal Disease / Issue 9/2012
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-012-1484-9

At a glance: The STEP trials

Springer Medicine

Ring drape do not protect against surgical site infections in colorectal surgery: a randomised controlled study

Abstract

Introduction

Method

Discussion

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Method

Discussion

Conclusion

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