Investigation of the Effect of Plastic Drape Used During the Surgery to the Surgical Site Infection

Yıl 2022, Cilt: 19 Sayı: 3, 644 - 652, 27.12.2022

Mehmet Çalış , Arzu Tuna , Ali Uzunköy

https://doi.org/10.35440/hutfd.1123340

Öz

Background: This study was planned to investigate the effect of plastic adhesive dressing in preventing surgical site infection in cases undergoing appendectomy.
Materials and Methods: Sixty patients between 20 and 60 years old patients who underwent appendec-tomy were included in the study. 30 of the patients were divided into two groups as experiment and 30 as control group. The operation area of the patients in the experimental group was stained with 10% povidone iodine in an antiseptic solution and covered with a sterile adhesive cover and their operations were perfor-med. In the control group, the operation area was stained only with antiseptic solution povidone iodine. In both groups, the incision areas were dressed with 10% povidone iodine at the end of the operation and once a day in the first 48 hours. Sociodemographic data of the patients were evaluated in terms of surgical site infection in the postoperative period, both with clinical (redness, tenderness, discharge temperature, ede-ma, body temperature) and laboratory data. Results were evaluated using chi- square and t tests. P <0.05 was considered statistically significant in all tests.
Results: In the study, there was no significant difference between the diagnostic characteristics of the patients in the experimental and control groups and the infection findings on the 2nd and 15th days after surgery (p> 0.5). There was no evidence of infection in either group.
Conclusions: In this study, it was observed that adhesive surgical dressings did not provide additional benefit in terms of preventing infection compared to standard dressings in preventing surgical field infecti-ons.

Key Words: Plastic adhesive cover, nursing, infection

Ameliyat Esnasında Kullanılan Plastik Yapışkanlı Örtünün Cerrahi Alan Enfeksiyonuna Etkisinin İncelenmesi

Öz

Amaç: Bu araştırma, apendektomi ameliyatı yapılan olgularda cerrahi alan enfeksiyonunu önlemede plastik yapışkan örtünün etkisini araştırmak amacı ile planladı.
Materyal ve Method: Apendektomi yapılan 20 – 65 yaş arası 60 hasta çalışmaya alındı.
Hastaların 30’u çalışma ve 30’u kontrol grubu olarak iki gruba ayrıldı. Çalışma grubundaki hastaların ameliyat bölgesi antiseptik solüsyon %10 povidon iyodin ile boyandı ve steril yapışkanlı örtü ile kapatıldı ve ameliyatları gerçekleştirildi. Kontrol grubunda ise, ameliyat bölgesi sadece antiseptik solüsyon povidon iyodin ile boyandı. Her iki gruptada da operasyon bitiminde ve ilk 48 saatte, günde bir kez olmak üzere, insizyon alanları %10’luk povidon iyodin ile pansuman yapıldı. Hastaların sosyodemografik verileri, ameliyat sonrası dönemde cerrahi alan enfeksiyonu açısından hem klinik (yara yerinde kızarıklık, hassasiyet, akıntı ısı artışı, ödem, vücut sıcaklığı), hem de laboratuvar verileri ile değerlendirildi. Sonuçlar, ki kare ve t testi ile değerlendirildi. Tüm testlerde p<0,05 istatiksel olarak anlamlı kabul edildi.
Bulgular: Çalışma ve kontrol grubu hastalarının hasta tanılayıcı özellikleri ile enfeksiyon bulguları arasında ameliyattan 2. gün ve 15. günlerde anlamlı bir fark yoktu (p>0.5). Her iki grupta da enfeksiyon bulgusuna rastlanmadı.
Sonuç: Bu araştırmada yapışkanlı ameliyat örtülerinin cerrahi alan enfeksiyonlarını önlemede standart örtülere göre, enfeksiyonu önleme açısından ilave fayda sağlamadığı gözlendi.

Anahtar Kelimeler

Hemşirelik, Enfeksiyon, Plastik yapışkanlı örtü

Kaynakça

• 1. Anderson DJ, Sexton DJ. Overview of control measures for the prevention of surgical site infection in adults [serial on the Internet] 2020 [cited 07 March 2020]. Available from: https://www.uptodate.com/contents/overview-of-control- measures-for-prevention-of-surgical-site- infection-in-adults
• 2. Awad S. Adherence to surgical care improvement project measures and post-operative surgical site infections. Surgical Infection 2012; 13(4): 234-237.
• 3. Uzunköy A. Cerrahi alan enfeksiyonları: risk faktörleri ve önleme yöntemleri. Ulusal Travma ve Acil Cerrahi Dergisi. 2005;11(4): 269 – 281.
• 4. Psnet.ahrq.gov [homepage on the Internet]. Surgical Site Infections. Patient Safety Primer [7 September 2019; cited 07 March 2020] Availeble from: https://psnet.ahrq.gov/primers/primer/45/surgical-site-infections.
• 5. Kalkan N, Karadağ M.Cerrahi Alan Enfeksiyonlarını Önlemede Güncel Yaklaşımlar ve Hemşirelere Yönelik Önleme Girişimleri Algoritması. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2017; 6(4): 280- 289.
• 6. Webster, J., Alghamdi, A. Use of plastik adhesive drapes during surgery for preventing surgical site infection [serial on the Internet] 2013 (cited 08 March 2020]. Available from: (1):CD006353.DOI: 10.1002/14651858.CD006353.pub3.
• 7. Rutalla WA, Weber DJ. Disinfection, sterilization, and antisepsis: An overview. American Journal of Infection Control. 44, 5, Sup, 2016, e1-6.
• 8. Bruce J, Russell EM, Mollison J, Krukowski ZH. The measurement and monitoring of surgical adverse events. Health Tech Asses. 2001; 5 (22):1‐ 194.
• 9. Tartari E, Mamo J. Pre-educational intervention survey of healthcare practitioners' compliance withinfection prevention measures in cardiothoracic surgery: low compliance but internationally comparable surgical site infection rate. J Hosp Infect. 2011 Apr;77(4):348-51. DOI: 10.1016/j.jhin.2010.12.005. Epub 2011 Feb 18.
• 10. Smyth ETM, McIlvenny G, Enstone J.et al. Four Country Healthcare Associated Infection Prevalence Survey 2006: overview of the results. J Hosp Infect. 2008 Jul;69(3):230-48.
• 11. Hadiati DR, Hakimi M, Nurdiati DS, Lopes K S, Ota E. Skin preparation for preventing infection following caesarean section. Cochrane Database of Systematic [serial on the Internet] 2018 [cited 08 March 2020]. Available from: https://doi.org/10.1002/14651858.CD007462.pub4
• 12. Dumville J C, Mcfarlane E, Edwards P, Lipp A, Holmes A. Preoperative skin antiseptics for preventing surgical wound infections after clean surgery. Cochrane Database of Systematic Reviews [serial on the Internet] 2013 [cited 08 March 2020]. Available from: https://doi.org/10.1002/14651858.CD003949.pub3
• 13. Swenson BR, Camp TR, Mulloy DP, Sawyer RG. Antimicrobial-impregnated surgical incise drapes in the prevention of mesh infection after ventral hernia repair. Surg Infect (Larchmt) 2008, 9(1):23–32.
• 14. Kang SI, Oh HK,Kim MH,Kim MJ,Kim DW,Kim HJ, et al.Systematic review and meta- analysis of randomized controlled trials of the clinical effectiveness of impervious plastic wound protectors in reducing surgical site infections in patients undergoing abdominal surgery. Surgery.2018 Nov;164(5):939-945.DOI: 10.1016/j.surg.2018.05.02