Can sutures get wet? Prospective randomised controlled trial of wound management in general practice

Heal, Clare, Buttner, Petra, Raasch, Beverley, Browning, Sheldon, Graham, David, Bidgood, Rachel, Campbell, Margaret, and Cruikshank, Robert (2006) Can sutures get wet? Prospective randomised controlled trial of wound management in general practice. British Medical Journal, 332 (7549). pp. 1053-1056.

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Abstract

Objective: To compare standard management of keeping wounds dry and covered with allowing wounds to be uncovered and wet in the first 48 hours after minor skin excision.

Design Prospective: randomised controlled, multicentre trial testing for equivalence of infection rates.

Setting: primary care in regional centre, Queensland, Australia.

Participants: 857 patients randomised to either keep their wound dry and covered (n = 442) or remove the dressing and wet the wound (n = 415).

Results: The incidence of infection in the intervention group (8.4%) was not inferior to the incidence in the control group (8.9%) (P < 0.05). The one sided 95% confidence interval for the difference of infection rates was {infty} to 0.028.

Conclusion: These results indicate that wounds can be uncovered and allowed to get wet in the first 48 hours after minor skin excision without increasing the incidence of infection.

Item ID: 3791
Item Type: Article (Refereed Research - C1)
Keywords: wound management; equivalence study; randomised controlled trial; general practice
ISSN: 1756-1833
Date Deposited: 20 Nov 2009 01:27
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920109 Infectious Diseases @ 51%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920412 Preventive Medicine @ 49%
Citation Count from Web of Science Web of Science 20
Downloads: Total: 3
Last 12 Months: 1
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