Dressing wear time after breast reconstruction: study protocol for a randomized controlled trial

Dressing wear time after breast reconstruction: study protocol for a randomized controlled trial

Author Veiga, Daniela Francescato Autor UNIFESP Google Scholar
Veiga-Filho, Joel Google Scholar
Damasceno, Carlos Americo Veiga Google Scholar
Sales, Edilaine Maria Leci Google Scholar
Morais, Thiago Bezerra Google Scholar
Almeida, Wania Eliza Google Scholar
Novo, Neil Ferreira Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Univ Vale do Sapucai
Abstract Background: One of the major risk variables for surgical site infection is wound management. Understanding infection risk factors for breast operations is essential in order to develop infection-prevention strategies and improve surgical outcomes. the aim of this trial is to assess the influence of dressing wear time on surgical site infection rates and skin colonization. Patients' perception at self-assessment will also be analyzed.Methods/Design: This is a two-arm randomized controlled trial. Two hundred breast cancer patients undergoing immediate or delayed breast reconstruction will be prospectively enrolled. Patients will be randomly allocated to group I (dressing removed on postoperative day one) or group II (dressing removed on postoperative day six). Surgical site infections will be defined by standard criteria from the Centers for Disease Control and Prevention (CDC). Skin colonization will be assessed by culture of samples collected at predefined time points. Patients will score dressing wear time with regard to safety, comfort and convenience.Discussion: the evidence to support dressing standards for breast surgery wounds is empiric and scarce. CDC recommends protecting, with a sterile dressing for 24 to 48 hours postoperatively, a primarily closed incision, but there is no recommendation to cover this kind of incision beyond 48 hours, or on the appropriate time to shower or bathe with an uncovered incision. the results of the ongoing trial may support standard recommendations regarding dressing wear time after breast reconstruction.
Keywords Breast cancer
Breast reconstruction
Postoperative care
Dressings
Surgical wound infection
Bacterial growth
Patient satisfaction
Language English
Sponsor Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG)
Grant number CNPq: 480644/2011-0
Date 2013-02-22
Published in Trials. London: Biomed Central Ltd, v. 14, 6 p., 2013.
ISSN 1745-6215 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent 6
Origin http://dx.doi.org/10.1186/1745-6215-14-58
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000315877300002
URI http://repositorio.unifesp.br/handle/11600/35982

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