Surgical Site Infection
Conditions
Brief summary
SSI (Surgical Site Infection) rate is an important consideration after emergency laparotomy. SSIs carry a high financial burden for health institutes with the cost of major SSIs after emergency laparotomy to add an additional cost of £10000-£15000 per patient. NICE has recommended the use of PICO dressings for the reduction of SSI rate as a cost-neutral. The purpose of this study was to review the current SSI rate, assess the patient risk factors for development of SSIs and evaluate if the use of PICO dressings as per NICE guidelines will reduce the SSI rate.
Interventions
DEVICEPICO dressing
Negative Pressure Wound Therapy device
Sponsors
North Middlesex University Hospital NHS Trust
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* All emergency midline laparotomy * Laparoscopic converted open
Exclusion criteria
\- Reoperation with 28 days of index laparotomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| SSI Day 7 | Day 7 | Presence of SSI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay | through study completion, an average of 6 months | Length of stay |
| Surgical site complications | Day 28 | Number of participants with other complications of the wound to include dehiscence and burst abdomen |
| SSI Day 7 | Day 28 | Presence of SSI |
| SSI grading | Day 28 | SSI grading as per Southampton scoring system (if applicable) (Grade 0-5 with 5 being worse outcome) |
| Length of antibiotic therapy | Day 28 | Duration of post-operative antibiotic therapy |
| Reoperation | Day 28 | Number of participants undergoing reoperation |
Countries
United Kingdom
Outcome results
None listed