Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
South East Wales Vascular Network, Aneurin Bevan University Health Board, Royal Gwent Hospital, Wales, UK.
Int Wound J. 2023 Oct;20(8):2998-3005. doi: 10.1111/iwj.14170. Epub 2023 Jul 11.
Surgical site infection (SSI) is common following arterial surgery involving a groin incision. There is a lack of evidence regarding interventions to prevent groin wound SSI, therefore, a survey of vascular clinicians was undertaken to assess current opinion and practice, equipoise and feasibility of a randomised controlled trial (RCT). Participants at the Vascular Society of Great Britain and Ireland 2021 Annual Scientific Meeting were surveyed regarding three separate interventions designed to prevent SSI in the groin; impregnated incise drapes, diakylcarbomoyl chloride dressings and antibiotic impregnated collagen sponges. Results were collated via an online survey using the Research Electronic Data Capture platform. Seventy-five participants completed the questionnaire, most were consultant vascular surgeons (50/75, 66.7%). The majority agree that groin wound SSI is a major problem (73/75, 97.3%), and would be content using either of the three interventions (51/61, 83.6%) and had clinical equipoise to randomise patients to any of the three interventions versus standard of care (70/75, 93.3%). There was some reluctance to not use impregnated incise drapes as may be considered "standard of care". Groin wound SSI is perceived as major problem in vascular surgery, and a multicentre RCT of three preventative interventions appears acceptable to vascular surgeons.
手术部位感染（SSI）在涉及腹股沟切口的动脉手术后很常见。目前缺乏预防腹股沟伤口 SSI 的干预措施的证据，因此，对血管临床医生进行了调查，以评估当前的意见和实践、随机对照试验（RCT）的均衡性和可行性。在 2021 年英国和爱尔兰血管学会年会上，对 75 名参与者进行了关于三种预防腹股沟 SSI 的干预措施的调查；浸渍切口巾、二烷基碳酰氯敷料和抗生素浸渍胶原海绵。结果通过 Research Electronic Data Capture 平台的在线调查进行了汇总。75 名参与者完成了问卷调查，其中大多数是顾问血管外科医生（50/75，66.7%）。大多数人认为腹股沟伤口 SSI 是一个主要问题（73/75，97.3%），并且愿意使用三种干预措施中的任何一种（51/61，83.6%），并且有临床均衡性随机分配患者接受三种干预措施中的任何一种与标准护理（70/75，93.3%）。由于可能被认为是“标准护理”，不愿意不使用浸渍切口巾。腹股沟伤口 SSI 在血管外科中被视为主要问题，并且对三种预防干预措施的多中心 RCT 似乎可以被血管外科医生接受。
