Influence of early postoperative showering in undressed surgical wound for better clinical outcome

Jayathilake, Anuradha; Jayaweera, Jayaweera Arachchige Asela Sampath; Kumbukgolla, Wikum Widuranga; Herath, Sudheera

doi:10.1177/1750458919868903

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…Across all procedures the rate of surgical site infection was lower in the group that was allowed to bathe after 24 hours. 14 These findings further support the idea that rather than increase the risk of infection, allowing patients to bathe soon after surgery may actually decrease the risk of surgical site infection.…”

Section: Discussionsupporting

confidence: 60%

“…In fact, the few studies that compare longer versus shorter lengths of restriction have found either no differences in the rate of surgical site infection or decreased surgical site infections when patients were allowed to bathe sooner. 7,13,14 Early cellular changes at the wound bed may provide sufficient protection against infection within 24 hours to allow for bathing. 15 In a systematic review conducted by Harrison et al the authors included 4 papers published between 1946 and 2016.…”

Section: Discussionmentioning

confidence: 99%

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How Long Should We Keep Children’s Surgical Sites Dry? The Incidence of Infection and Dehiscence After Pediatric Office Procedures

Palacios

Hazkour

Robinson

et al. 2023

FACE

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Objective: Studies evaluating the relationship between bathing and adverse surgical site events are sparse. In this study, we examine the incidence of surgical site infection (SSI) and dehiscence in a cohort of pediatric patients who were allowed to bathe 24 hours after their office procedures. Methods: Pediatric patients who underwent office procedures by a single plastic surgeon from 2017 to 2021 were included. All patients were allowed to bathe 24 hours after their office-based skin procedure. Age, sex, procedure type, pre procedure diagnosis, relevant past medical history, instances of dehiscence, and SSI were recorded. Results: 738 pediatric patients were included. Median age was 3.3 years(range 2 months-7 years), 46% were male and 54% were female. The most common pre procedure diagnoses were branchial vestige (24%), melanocytic nevi (21%), polydactyly (15%), congenital non-neoplastic nevus (11%), cyst (9%), hypertrophic scar (8%), and hemangioma(5%). No patients received systemic antibiotics post-procedurally. Six instances of dehiscence were recorded, and no SSIs were seen in any of the 738 patients. Conclusions: The low dehiscence rate and lack of SSIs in our cohort supports the hypothesis that children can bathe normally 24 hours after office procedures without adverse consequences. This recommendation can reduce the burden of post procedure wound care by reducing the length of time patients have to modify their bathing routines.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

How Long Should We Keep Children’s Surgical Sites Dry? The Incidence of Infection and Dehiscence After Pediatric Office Procedures

Palacios

Hazkour

Robinson

et al. 2023

FACE

View full text Add to dashboard Cite

show abstract

“…They concluded that to optimize the outcomes, surgical wounds should be kept moist, clean and patients should be advised early moblisation. 11 Another recent study favored early showering in patients after coronary artery bypass graft surgery. This study had the evidence that the rate of sternal wound infections was lower is shower group as compared to non-shower group i.e.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Early Versus Delayed Showering on Post-Operative Wound Infections

Abbasi¹,

Basit²,

Farooq³

et al. 2021

J. Bahria Univ. Med. Dent. Coll.

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Objectives: To compare frequency of SSIs with and without early showering after clean and clean contaminated surgical wounds. Study Design and Setting: Randomized controlled trial was conducted at Department of Surgery. HIT Hospital, Taxila from June 2020 to December 2020. Methodology: A total of 130 participants were recruited after taking informed consent. After clean and clean-contaminated surgery, first group was subjected to early showering (48 hours after surgery) while second group was not allowed showering until removal of stiches. Both groups were compared in terms of SSIs. Data was entered into SPSS version 25. The mean and standard deviation were used for the expression of continuous variables while frequency and proportion were used for qualitative variables. Both groups were compared by independent sample t test and chi square test. A p value of <0.05 was considered statistically significant. Results: The mean age of the patients was 39.92 ± 11.42 years and there was male gender dominancy i.e. 74 (56.9%) were males while 56 (43.1%) were females. Clean surgeries were 81 (62.3%) and clean-contaminated proportion was 49 (37.7%). Collectively, 12 (9.2%) patients developed SSIs during clinical followup. There was no difference between groups in terms of age, gender, and wound types (p values 0.680, 0.157 and 0.587 respectively). In shower group, 3 (4.6%) and in nonshower group, 9 (13.8%) patients developed SSIs (p value 0.069). Conclusion: Early postoperative showering can be implemented safely in clean and clean contaminated surgical wounds to minimize SSIs. The results should be evaluated in large RCTs

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The effects of showering in 48–72 h after coronary artery bypass graft surgery through median sternotomy on wound infection, pain, comfort, and satisfaction: randomized controlled trial

Gök

Korkmaz

Emrecan

2021

European Journal of Cardiovascular Nursing

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Aims Time of showering after surgery is still a controversial issue for surgical patients and health professionals. We evaluated the effects of showering in 48–72 h after median sternotomy on sternal wound infections, pain due to sternotomy, patient comfort, and satisfaction levels. Methods and results The study was a randomized controlled clinical trial. Fifty-one patients were randomly allocated (1:1) to the shower (n = 26) or non-shower group (n = 25). The patients in the shower group (intervention group) showered in the first 48–72 h after surgery and the patients in the non-shower group (control group) were not allowed to shower until their chest tube sutures were removed. They were instructed to shower on the next day after removal of the chest tube sutures. The rate of sternal wound infections was significantly lower in the shower group (n = 2, 7.7%) than in the non-shower group patients (n = 8, 32.0%; P = 0.038). A logistic regression analysis showed that early post-operative showering was protective and significantly reduced the risk of sternal wound infections independently of other variables [odds ratio (OR): 0.177; 95% confidence interval (CI): 0.033–0.940; P = 0.042]. The pain severity score was significantly lower in the shower group patients. Also, comfort and satisfaction scores were significantly higher in this group (P < 0.05). Conclusion Early showering after sternotomy was found to be protective against sternal wound infections and had a positive effect on pain, comfort, and satisfaction. Trial registration Clinical Trials.gov registration number NCT04250961 (https://clinicaltrials.gov/ct2/show/NCT04250961).

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Influence of early postoperative showering in undressed surgical wound for better clinical outcome

Cited by 3 publications

References 20 publications

How Long Should We Keep Children’s Surgical Sites Dry? The Incidence of Infection and Dehiscence After Pediatric Office Procedures

How Long Should We Keep Children’s Surgical Sites Dry? The Incidence of Infection and Dehiscence After Pediatric Office Procedures

Comparison of Early Versus Delayed Showering on Post-Operative Wound Infections

The effects of showering in 48–72 h after coronary artery bypass graft surgery through median sternotomy on wound infection, pain, comfort, and satisfaction: randomized controlled trial

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