¿Es efectiva la aplicación de apósitos en las heridas quirúrgicas que cierran por primera intención para prevenir la infección?

  1. Miriam Paula Marcos 1
  2. Miriam Vázquez Campo 2
  3. Eva Tizón Bouza 3
  1. 1 Servicio Canario de Salud
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    Servicio Canario de Salud

    Santa Cruz de Tenerife, España

  2. 2 Xerencia de Xestión Integrada de Ourense
  3. 3 Complexo Hospitalario Universitario de Ferrol
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    Complexo Hospitalario Universitario de Ferrol

    Ferrol, España

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Revista:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Ano de publicación: 2015

Volume: 26

Número: 2

Páxinas: 73-75

Tipo: Artigo

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Outras publicacións en: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Resumo

Clinical question: In patients at risk of infection in the surgical wound, how effective is the application of dressings in surgical wounds closed by primary intention to prevent infection? Selected Item: Walter CJ, Dumville JC, Sharp CA, Page T. Systematic review and meta-analysis of wound dressings in the prevention of surgical-site infections in surgical wounds healing by primary intention. Br J Surg. 2012;99(9):1185-94. doi: 10.1002/bjs.8812. Study Summary: This is a systematic review and meta-analysis, which aims to make a comparison between alternative dressings as well as a comparison between applying a dressing and leaving the wound exposed, for postoperative treatment of surgical wounds healing by primary intention. Comment: The study meets the criteria proposed by the PRISMA checklist for systematic reviews, being generally of good quality. There was no evidence that any dressing would reduce significantly the rates of surgical wound infection compared with any other or with air exposure of the wound. There were no differences in relation to pain, scarring or acceptance of the dressing. The quality of the evidence is high according to the GRADE classification. Conclusions: There are no differences in infection rates between the surgical wounds covered with a bandage compared to those left exposed to air. However, the decision of applying a dressing should be based on the cost of the dressing, its properties to control the symptoms as well as on exudate control.

Referencias bibliográficas

  • Walter CJ, Dumville JC, Sharp CA, Page T. Systematic review and meta-analysis of wound dressings in the prevention of surgical-site infections in surgical wounds healing by primary intention. Br J Surg. 2012;99 (9):1185-94. doi: 10.1002/bjs.8812.
  • Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6(7):e1000097.
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  • González Linares RM, Antolín Mugarza A, Salgado Larrea V, Barandiaran Múgica MJ, Basurco Celaya R, Larrañaga Garaikoetxe N. Efectividad del apósito en heridas quirúrgicas limpias y limpias contaminadas a partir de las 24-48 h de la intervención quirúrgica. Enferm Clín. 2002;12(3):117-21.
  • National Collaborating Centre for Women's and Children's Health. Surgical site infection: prevention and treatment of surgical site infection. Clinical Guideline. National Institute for Health and Clinical Excellence (NICE). 2008; 74:86-90. Disponible en: http://www.nice.org.uk/nicemedia/pdf/CG74FullGuideline.pdf.
  • Marzo-Castillejo M, Alonso-Coello P. La clasificación de la calidad de la evidencia y la fuerza de recomendación. GRADE Working Group. Aten Primaria. 2006;37(1):5-8.
Fonte de datos: Dialnet