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    Antiseptic wick: does it reduce the incidence of wound infection following appendectomy?

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    Authors
    McGreal, Gerald T
    Joy, Aislinn
    Manning, Brian
    Kelly, John L
    O'Donnell, Joseph A
    Kirwan, W William O
    Redmond, H Paul
    Affiliation
    Department of Surgery, Professorial Unit, Cork University Hospital, Cork,, Ireland.
    Issue Date
    2012-02-03T15:10:30Z
    MeSH
    Adolescent
    Adult
    Anti-Infective Agents, Local/*therapeutic use
    Antibiotic Prophylaxis
    Appendectomy/*methods
    Appendicitis/*surgery
    Child
    Child, Preschool
    Female
    Humans
    Length of Stay
    Male
    Middle Aged
    Postoperative Period
    Povidone-Iodine/*therapeutic use
    Prospective Studies
    Risk Factors
    Surgical Wound Infection/*prevention & control
    *Suture Techniques
    Treatment Outcome
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    Metadata
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    Citation
    World J Surg. 2002 May;26(5):631-4. Epub 2002 Mar 18.
    Journal
    World journal of surgery
    URI
    http://hdl.handle.net/10147/209035
    DOI
    10.1007/s00268-001-0281-3
    PubMed ID
    12098059
    Abstract
    The role of prophylactic antibiotics is well established for contaminated wounds, but the use of antiseptic wound wicks is controversial. The aim of this work was to study the potential use of wound wicks to reduce the rate of infection following appendectomy. This prospective randomized controlled clinical trial was conducted at a university hospital in the department of surgery. The subjects were patients undergoing appendectomy for definite acute appendicitis. They were randomized by computer to primary subcuticular wound closure or use of an antiseptic wound wick. For the latter, ribbon gauze soaked in povidone-iodine was placed between interrupted nylon skin sutures. Wicks were soaked daily and removed on the fourth postoperative day. All patients received antibiotic prophylaxis. They were reviewed while in hospital and 4 weeks following operation for evidence of wound infection. The main outcome measures were wound infection, wound discomfort, and cosmetic result. The overall wound infection rate was 8.6% (15/174). In patients with wound wicks it was 11.6% (10/86) compared to 5.6% (5/88) in those whose wounds were closed by subcuticular sutures (p = NS). We concluded that the use of wound wicks was not associated with decreased wound infection rates following appendectomy. Subcuticular closure is therefore appropriate in view of its greater convenience and safety.
    Language
    eng
    ISSN
    0364-2313 (Print)
    0364-2313 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00268-001-0281-3
    Scopus Count
    Collections
    Cork University Hospital

    entitlement

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