1. Silver-Impregnated Dressings for Sternotomy Incisions to Prevent Surgical Site Infections in Children
- Author
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Stephen J. Roth, Ellen Bair, Claire Abrajano, Amy Petty, Katie Felix, May Casazza, Sandra L. Staveski, Emily Dong, and Hanson Quan
- Subjects
Heart Defects, Congenital ,Male ,medicine.medical_specialty ,Silver ,Adolescent ,Critical Care Nursing ,Asepsis ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Surgical site ,medicine ,Humans ,Surgical Wound Infection ,030212 general & internal medicine ,Prospective Studies ,Cardiac Surgical Procedures ,Prospective cohort study ,Child ,030504 nursing ,business.industry ,Incidence (epidemiology) ,Infant, Newborn ,Infant ,General Medicine ,medicine.disease ,Mediastinitis ,Bandages ,Sternotomy ,Surgery ,Cardiac surgery ,Child, Preschool ,Population study ,Female ,0305 other medical science ,business ,Patient Care Bundles - Abstract
Background The consequences of surgical site infections can be severe and range from short-term delays in discharge from the hospital to life-threatening infections such as mediastinitis. Objectives To evaluate the effectiveness of silver-impregnated dressings in decreasing surgical site infections in children after cardiac surgery. Methods A randomized, controlled trial was used to compare silver-impregnated dressings (59 participants) with standard dressings (58 participants). The study team supervised all dressing changes after a sternotomy and ensured adherence with the hospital's bundle for reduction of surgical site infections. The ASEPSIS tool was used to evaluate sternal wounds for evidence of infection. Results The 2 groups had comparable Risk Adjustment for Congenital Heart Surgery scores, age, sex, weight, height, operating room characteristics, and number of chest tubes and/or pacemaker wires. No surgical site infections occurred in any study participant. Infections did occur, however, during the same period, in cardiac surgical patients who were not enrolled in the study. Conclusions The evidence did not support the superiority of silver-impregnated dressings for prevention of surgical site infections in children after cardiac surgery. Adherence to a bundle for prevention of surgical site infections may have decreased the incidence of such infections in the study population during the study period.
- Published
- 2016