Dayton Paul, Feilmeier Mindi, Sedberry Shelly
Podiatric Medicine and Surgery Residency, Trinity Regional Medical Center, Fort Dodge, IA 50501, USA.
J Foot Ankle Surg. 2013 Sep-Oct;52(5):612-4. doi: 10.1053/j.jfas.2013.02.016. Epub 2013 Apr 13.
Infection is one of the many postoperative complications a surgeon must attempt to control during the perioperative period. Surgeons have used a variety of modalities to prevent surgical site infection and have adhered to a variety of protocols. It has been common for foot and ankle surgeons to recommend that a patient keep the surgical incision covered and dry and to instruct the patient to avoid bathing and showering until the sutures have been removed. Surgeons have theorized that this will reduce contamination of the surgical site and help to prevent infection. We questioned the evidence basis for this practice and undertook a systematic review of electronic databases and other relevant sources regarding the incidence of infection when patients had been allowed to wet their surgical incision site by showering or bathing before suture removal. Nine studies involving 2150 patients met our inclusion criteria. No increased incidence of infection was found in the patients allowed to shower or bathe as a part of their normal daily hygiene before suture removal compared with those who were instructed to keep the site dry until suture removal.
感染是外科医生在围手术期必须设法控制的众多术后并发症之一。外科医生采用了多种方法来预防手术部位感染，并遵循了各种方案。足踝外科医生通常建议患者保持手术切口覆盖且干燥，并指示患者在缝线拆除前避免洗澡。外科医生推测，这将减少手术部位的污染并有助于预防感染。我们质疑了这种做法的证据基础，并对电子数据库和其他相关来源进行了系统回顾，以了解患者在缝线拆除前通过淋浴或洗澡使手术切口部位湿润时的感染发生率。九项涉及2150名患者的研究符合我们的纳入标准。与被指示保持手术部位干燥直至缝线拆除的患者相比，在缝线拆除前允许作为日常正常卫生一部分进行淋浴或洗澡的患者中，未发现感染发生率增加。
