ONE YEAR RANDOMISED CONTROLLED TRIAL TO COMPARE THE EFFECTIVENESS OF TRICLOSANCOATED PDS PLUS VERSUS UNCOATED PDS SUTURES IN PREVENTION OF SURGICAL SITE INFECTIONS AFTER MONOLAYER CLOSURE IN OPEN ABDOMINAL SURGERIES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 44
Abstract
BACKGROUND Surgical site infections remain one of the most frequent complications in open abdominal surgery. This study compared the effectiveness of Triclosan-coated PDS Plus and non-coated PDS II after monolayer abdominal fascia closure in preventing SSI in open abdominal surgeries. MATERIALS AND METHODS The randomised controlled trial was conducted in the Department of General Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum for a period of one year from January 2014 to December 2014 were studied. A total of 60 patients undergoing open abdominal surgeries (clean contaminated) were enrolled. These patients were divided into two groups of 30 each based on suture material used to close the abdominal fascia in monolayer as Group A (PDS II sutures) and Group B (PDS plus sutures). RESULTS Most of the patients were males in Group A and B (63.33%) with males to female ratio of 1.72:1 (p= 1.000). The mean age in Group A and Group B was comparable (39.90 ± 11.67 vs 41.67 ± 16.08 years; p= 0.687). Other pre-intervention characteristics were comparable (p > 0.050). On post-operative day two, discharged (63.33% vs 70%) positive culture (81.82% vs 77.78%) were comparable. The commonest organism in Group A was Escherichia coli and pseudomonas aeruginosa (27.27%) and in Group B, pseudomonas aeruginosa was the commonest organism (22.22%) (p > 0.050). Similar trend was noted on day six and ten. Pain, local tenderness, redness, raised local temperature, fever were comparable in Group A and Group B on day two and ten (p > 0.050). The surgical site infections were present in 43.33% of the patients in Group A compared to 30% of the patients in Group B (p=0.284). CONCLUSION Abdominal fascia closure with Triclosan-coated PDS Plus sutures is as effective as non-coated PDS sutures after monolayer closure in clean contaminated open abdominal surgeries in the prevention of surgical site infections.
Authors and Affiliations
Ramesh S Koujalagi, Kanth Kavipurapu S. S. K
Keywords
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- EP ID EP215560
- DOI 10.14260/Jemds/2017/744
- Views 45
- Downloads 0
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