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ROLE OF PER-OPERATIVE WOUND IRRIGATION IN PROPHYLAXIS OF SURGICAL SITE INFECTION IN CLEAN CONTAMINATED WOUNDS

Local studies report infection rate of 4.88% in clean cases, 8.39% in clean contaminated and up to 20.45% in contaminated/dirty wounds6. [...]length of surgical wound is inversely proportional to rate of development of SSIs and early detection of these infections can improve outcomes7,8. [...]consen...

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Bibliographic Details
Published in:Pakistan Armed Forces medical journal 2019-02, Vol.69 (1), p.60-64
Main Authors: Khan, Raheel, Asghar, Muhammad Usman, Siyar, Falak, Saleem, Muhammad Mudassir, Safdar, Muhammd Hanif Khan
Format: Article
Language:English
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Summary:Local studies report infection rate of 4.88% in clean cases, 8.39% in clean contaminated and up to 20.45% in contaminated/dirty wounds6. [...]length of surgical wound is inversely proportional to rate of development of SSIs and early detection of these infections can improve outcomes7,8. [...]consensus is yet to be achieved on the type of irrigant that is most effective in irrigation to reduce SSIs. [...]trials are needed to compare its use with other irrigants including topical antibiotics. [...]we only studied its role in clean contaminated cases and future trials are needed to demonstrate its role in clean as well as contaminated and dirty surgical wounds. CONCLUSION The study presents a tendency for lesser frequency of wound infection rates in patients treated with intra-operative isotonic saline irrigation versus conventional wound closure without irrigation. [...]intra-operative wound irrigation with normal saline is superior to conventional wound closure without irrigation in terms of development of SSIs.
ISSN:0030-9648
2411-8842