This study was designed to determine whether the duration of dressing wear following augmentation mammaplasty influence skin colonization and eventually surgical site infections rates.
Augmentation mammaplasty is currently one of the most performed plastic surgery procedures. It is a clean operation, and surgical site infection (SSI) rates are low. However, a SSI, since a minor one, leads to the failure of the procedure. Thus, minimizing SSI risks is imperative. The Centers for Disease Control and Prevention (CDC) provides recommendations concerning prevention of SSI.No recommendation is offered for some practices, either because there is a lack of consensus regarding their efficacy or because of the available scientific evidence is insufficient to support their adoption. CDC´s "Guideline for Prevention of Surgical Site Infection" recommends protecting with a sterile dressing for 24 to 48 hours an incision that has been closed primarily. There is no recommendation to cover the incision beyond 48 hours. One major risk factor for SSI is the presence of bacteria at surgical site.Thus, this trial was designed to verify the influence of dressing wear time on skin colonization.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
80
Dressing is removed on the first postoperative day
Dressing is removed on the 6th postoperative day
Hospital das Clínicas Samuel Libanio
Pouso Alegre, Minas Gerais, Brazil
skin colonization
skin colonization will be measured through semi-quantitative cultures of samples collected pre-dressing and on 6th postoperative day.
Time frame: 6 days postoperatively
surgical site infection
Surgical site infection will be assessed weekly, for 30 days. CDC´s criteria and definitions will be used.
Time frame: 30 days postoperatively
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