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.
Study Type
OBSERVATIONAL
Enrollment
100
Negative Pressure Wound Therapy device
Nader University Bedwani
London, United Kingdom
SSI Day 7
Presence of SSI
Time frame: Day 7
SSI Day 7
Presence of SSI
Time frame: Day 28
Length of stay
Length of stay
Time frame: through study completion, an average of 6 months
Surgical site complications
Number of participants with other complications of the wound to include dehiscence and burst abdomen
Time frame: Day 28
Reoperation
Number of participants undergoing reoperation
Time frame: Day 28
SSI grading
SSI grading as per Southampton scoring system (if applicable) (Grade 0-5 with 5 being worse outcome)
Time frame: Day 28
Length of antibiotic therapy
Duration of post-operative antibiotic therapy
Time frame: Day 28
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