Dressing Wear Time after Breast Reconstruction: A Randomized Clinical Trial

Dressing Wear Time after Breast Reconstruction: A Randomized Clinical Trial

Author Veiga, Daniela Francescato Autor UNIFESP Google Scholar
Veiga Damasceno, Carlos Americo Google Scholar
Veiga-Filho, Joel Google Scholar
Paiva, Luiz Francisley Google Scholar
Martins Fonseca, Fernando Elias Google Scholar
Cabral, Isaias Vieira Google Scholar
Larcher Pinto, Natalia Lana Google Scholar
Juliano, Yara Autor UNIFESP Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Abstract Background The evidence to support dressing standards for breast surgery wounds is empiric and scarce. Objective This two-arm randomized clinical trial was designed to assess the effect of dressing wear time on surgical site infection (SSI) rates, skin colonization and patient perceptions. Methods A total of 200 breast cancer patients undergoing breast reconstruction were prospectively enrolled. Patients were randomly allocated to group I (dressing removed on the first postoperative day, n = 100) or group II (dressing removed on the sixth postoperative day, n = 100). SSIs were defined and classified according to criteria from the Centers for Disease Control and Prevention. Samples collected before placing the dressing and after 1 day (group I) and 6 days (both groups) were cultured for skin colonization assessments. Patients preferences and perceptions with regard to safety, comfort and convenience were recorded and analyzed. Results A total of 186 patients completed the follow-up. The global SSI rate was 4.5%. Six patients in group I and three in group II had SSI (p = 0.497). Before dressing, the groups were similar with regard to skin colonization. At the sixth day, there was a higher colonization by coagulase-negative staphylococci in group I (p < 0.0001). Patients preferred to keep dressing for six days (p < 0.0001), and considered this a safer choice (p < 0.05). Conclusions Despite group I had a higher skin colonization by coagulase-negative staphylococci on the sixth postoperative day, there was no difference in SSI rates. Patients preferred keeping dressing for six days and considered it a safer choice.
xmlui.dri2xhtml.METS-1.0.item-coverage San Francisco
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
FAPEMIG: PRI-00018-13
Date 2016
Published in Plos One. San Francisco, v. 11, n. 12, p. -, 2016.
ISSN 1932-6203 (Sherpa/Romeo, impact factor)
Publisher Public Library Science
Extent -
Origin http://dx.doi.org/10.1371/journal.pone.0166356
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000389520600006
URI https://repositorio.unifesp.br/handle/11600/56561

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