Dressing Wear Time after Breast Reconstruction: A Randomized Clinical Trial
| Autor: | Carlos Américo Veiga Damasceno, Luiz Francisley de Paiva, Lydia Masako Ferreira, Fernando Elias Martins Fonseca, Daniela Francescato Veiga, Isaías Vieira Cabral, Natália Lana Larcher Pinto, Joel Veiga-Filho, Yara Juliano |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Time Factors
Mammaplasty Staphylococcus medicine.medical_treatment Surgical Wound Cancer Treatment lcsh:Medicine 030230 surgery Pathology and Laboratory Medicine Chi Square Tests law.invention Mathematical and Statistical Techniques 0302 clinical medicine Randomized controlled trial Antibiotics law Medicine and Health Sciences Staphylococcus Aureus lcsh:Science Multidisciplinary integumentary system Antimicrobials Drugs Middle Aged Staphylococcal Infections Bacterial Pathogens Surgical Oncology Oncology Medical Microbiology 030220 oncology & carcinogenesis Physical Sciences Female Pathogens Breast reconstruction Surgical site infection Plastic Surgery and Reconstructive Techniques Statistics (Mathematics) Research Article Adult Clinical Oncology medicine.medical_specialty Breast surgery Group ii Breast Neoplasms Surgical and Invasive Medical Procedures Research and Analysis Methods Microbiology 03 medical and health sciences Breast cancer Microbial Control Chi-square test medicine Humans Surgical Wound Infection Statistical Methods Microbial Pathogens Statistical Hypothesis Testing Aged Pharmacology Bacteria business.industry lcsh:R Organisms Biology and Life Sciences medicine.disease Bandages Surgery Breast Reconstruction lcsh:Q Clinical Medicine business Mathematics Follow-Up Studies |
| Zdroj: | PLoS ONE, Vol 11, Iss 12, p e0166356 (2016) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Background The evidence to support dressing standards for breast surgery wounds is empiric and scarce. Objective This two-arm randomized clinical trial was designed to assess the effect of dressing wear time on surgical site infection (SSI) rates, skin colonization and patient perceptions. Methods A total of 200 breast cancer patients undergoing breast reconstruction were prospectively enrolled. Patients were randomly allocated to group I (dressing removed on the first postoperative day, n = 100) or group II (dressing removed on the sixth postoperative day, n = 100). SSIs were defined and classified according to criteria from the Centers for Disease Control and Prevention. Samples collected before placing the dressing and after 1 day (group I) and 6 days (both groups) were cultured for skin colonization assessments. Patients preferences and perceptions with regard to safety, comfort and convenience were recorded and analyzed. Results A total of 186 patients completed the follow-up. The global SSI rate was 4.5%. Six patients in group I and three in group II had SSI (p = 0.497). Before dressing, the groups were similar with regard to skin colonization. At the sixth day, there was a higher colonization by coagulase-negative staphylococci in group I (p |
| Databáze: | OpenAIRE |
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