银基敷料在预防切口手术部位感染中的作用：一项前瞻性多中心对照观察试验。

Silver-Based Dressings in the Prevention of the Incisional Surgical Site Infection: A Prospective Multicenter Observational Controlled Trial.

机构信息

Department of Surgery, University Hospital Královské Vinohrady, Third Faculty of Medicine, Charles University, Prague, Czech Republic.

Cardiocenter, University Hospital Královské Vinohrady, Third Faculty of Medicine, Charles University, Prague, Czech Republic.

出版信息

Surg Infect (Larchmt). 2022 Sep;23(7):682-690. doi: 10.1089/sur.2022.084. Epub 2022 Aug 5.

DOI:10.1089/sur.2022.084

PMID:35930248

Abstract

A new silver-based dressing has been designed to reduce surgical sited infections. A prospective multicenter observational study was conducted from January 2020 to October 2021. Patients with and without silver-based dressing after surgical incision were observed and their data analyzed. The study aimed to assess the incidence of incisional surgical site infection and primary healing after general surgery procedures. Overall, 218 patients with silver-based (n = 109) and conventional silver-free dressing (n = 109) were analyzed. Surgical site infection (SSI) and primary incision healing were reported in 10 (9.2%) versus 21 (19.3%) (p = 0.037) and in 95 (87.2%) versus 86 (78.9%) (p = 0.107) patients treated with and without silver-based dressing, respectively. Silver-based dressing demonstrated a lower incidence of incisional SSI and improved primary healing in comparison with patients in whom conventional non-silver-based dressing has been used.

摘要

一种新型的含银敷料被设计用于减少手术部位感染。一项前瞻性多中心观察性研究于 2020 年 1 月至 2021 年 10 月进行。观察了手术后使用和不使用含银敷料的患者，并对其数据进行了分析。本研究旨在评估普通外科手术后切口手术部位感染和一期愈合的发生率。共有 218 例使用含银敷料（n=109）和常规不含银敷料（n=109）的患者进行了分析。报告了 10 例（9.2%）与 21 例（19.3%）的手术部位感染（SSI）和原发性切口愈合不良（p=0.037）和 95 例（87.2%）与 86 例（78.9%）的患者使用和不使用含银敷料治疗（p=0.107）。与使用传统非含银敷料的患者相比，含银敷料在切口部位感染和改善原发性愈合方面的发生率较低。