. Open-label clinical trial comparing the clinical and economic effectiveness of using a polyurethane film surgical dressing with gauze surgical dressings in the care of post-operative surgical wounds. Int Wound J 2015; 12:285-292 AbstractSurgical site infection (SSI) is a common postoperative complication and can cause avoidable morbidity and excessive costs for the health service. Novel dressings, designed specifically for postoperative wounds, can help to reduce the risk of SSI and other complications such as blistering. This study compared the use of a new polyurethane film surgical dressing (Opsite Post-Op Visible, Smith & Nephew, Hull, UK) with gauze and tape in the management of postoperative wounds. The results show that the polyurethane film dressing results in a significant reduction in SSI (1·4% versus 6·6%, P = 0·006) as well as a reduction in other postoperative wound complications (e.g. blistering and erythema). Economic analysis conducted alongside the study suggests that these improved outcomes can be achieved at a lower treatment cost than gauze and tape dressings. The modest incremental cost of the polyurethane film surgical dressing is easily offset by the reduction in the costs related to treating SSI and other wound complications associated with gauze and tape dressings.

Objetivos: 1) establecer la prevalencia de úlceras por presión (UPP) en hospitales, centros sociosanitarios (CSS) y atención primaria en España; 2) determinar la frecuencia de UPP nosocomiales (generadas durante la estancia en hospitales o CSS), y 3) describir las características de los pacientes y de las lesiones identificadas. Métodos: encuesta epidemiológica, transversal, mediante cuestionario dirigido a profesionales que trabajen en centros sanitarios y sociosanitarios, públicos o privados, en España. Realizada entre el 1 de marzo y el 31 de mayo de 2013. Variables: descripción de los centros, población ingresada o atendida y pacientes con UPP, características demográficas y clínicas de los pacientes. Se calcula prevalencia bruta y prevalencia media para cada uno de los tres niveles asistenciales. Resultados: se obtuvieron 509 cuestionarios válidos, un 66,7% son de hospitales, un 21,6% de atención primaria y un 16,7% de CSS. Las cifras de prevalencia obtenidas son: en hospitales, en adultos 7,87% (IC 95%: 7,31-8,47%); en unidades pediátricas de hospitales, 3,36% (IC 95%: 1,44-7,61%); en CSS, 13,41% (IC 95%: 12,6-14,2%), y en atención primaria, 0,44% (IC 95%: 0,41-0,47%) entre mayores de 65 años y 8,51% (IC 95%: 7,96-9,1%) entre pacientes en programas de atención domiciliaria. La prevalencia es más alta en unidad de cuidados intensivos (UCI), llegando al 18%. Son UPP nosocomiales un ABSTRACT Aim: 1) To determine the prevalence of pressure ulcers (PU) at hospitals, nursing homes (NH) and the community in Spain; 2) To determine the frequency of nosocomial PU (those acquired during patients' stay at hospital or NH), y 3) To describe the characteristics of the patients and ulcers. Methods: Cross-sectional survey with a questionnaire aimed to nurses working at hospitals, nursing homes and primary care, both publics and privates, in Spain. Date: from 1st March to 31th May in 2013. Variables: Description of the centres, number of in-patients or residents at NH and number of patients with PU, demographic and clinical characteristics of the patients. For each one of the 3 settings, crude prevalence and average prevalence was calculated. Results: 509 valid questionnaires were obtained; 66.

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