The Use of Silver Nylon in Preventing Surgical Site Infections Following Colon and Rectal Surgery
BACKGROUND:Patients who undergo colorectal surgery have up to a 30% chance of developing a surgical site infection postoperatively. Silverlon is a silver nylon dressing designed to prevent surgical site infections, but only anecdotal evidence has previously supported its efficacy. OBJECTIVE:The aim...
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| Veröffentlicht in: | Diseases of the colon & rectum 2011-08, Vol.54 (8), p.1014-1019 |
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| container_title | Diseases of the colon & rectum |
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| creator | Krieger, Beth R Davis, Donald M Sanchez, Jaime E Mateka, James J. L Nfonsam, Valentine N Frattini, Jared C Marcet, Jorge E |
| description | BACKGROUND:Patients who undergo colorectal surgery have up to a 30% chance of developing a surgical site infection postoperatively. Silverlon is a silver nylon dressing designed to prevent surgical site infections, but only anecdotal evidence has previously supported its efficacy.
OBJECTIVE:The aim of this study was to evaluate the effect of silver nylon dressings in patients undergoing colorectal surgery.
DESIGN:We performed a prospective, randomized, controlled trial comparing a silver nylon dressing with gauze dressings in patients undergoing elective colorectal surgery.
SETTING:The study was performed at a university-based, tertiary referral center.
PATIENTS:We studied patients undergoing elective colorectal surgery with an abdominal skin incision of at least 3 cm.
INTERVENTION:Patients were randomly assigned to receive either a silver nylon or a gauze dressing.
MAIN OUTCOME MEASURES:The primary end point was surgical site infection occurring within 30 days of surgery.
RESULTS:One hundred ten patients were enrolled in the study and were randomly assigned to 1 of 2 treatment groups. After a 30-day follow-up period, the incidence of surgical site infection was lower in the silver nylon group compared with the control group (13% vs 33%, P = .011). Twenty-five patients in the study developed superficial surgical site infections, 5 in the silver nylon group and 14 in the control group (P = .021). Two patients in the study group developed deep wound infections compared with 4 in the control group (P = .438). Multivariate analysis revealed that patients in the control group had a 3-fold increase in risk of infection compared with patients in the silver nylon group (P = .013).
LIMITATIONS:A limitation of this study is that the members of the surgical team were not blinded to the treatment groups.
CONCLUSION:Silver nylon is safe and effective in preventing surgical site infection following colorectal surgery. |
| doi_str_mv | 10.1097/DCR.0b013e31821c495d |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_875488443</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>875488443</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4477-e3df344534e9ec192b24797fa9c2370461dca7ca0b6f46396c520a6b9c190ff03</originalsourceid><addsrcrecordid>eNpdkF1rHCEUhiU0NJu0_yAUb0qvJj1-zDhelk3TBEJT8nEtjnPMTuuOqc5k2X9fl2w_qCBy8Hl98SHklMEZA60-ni9vz6ADJlCwljMndd0fkAWrBVQg6vYVWQAwXgkFzRE5zvl7GYGDek2OOFMClOYLYu9XSB8y0ujp3RCeMdGv2xBHOoz0W8JnHKdhfKR3c3ocnA2FmZBejR7dNMQx04sYQtzskGXcxezY09tyuUNLBtP2DTn0NmR8uz9PyMPF5_vlZXV98-Vq-em6clIqVaHovZCyFhI1OqZ5x6XSylvtePmCbFjvrHIWusbLRujG1Rxs0-nCgvcgTsiHl3efUvw5Y57MesgOQ7AjxjmbVtWybaUUhZQvpEsx54TePKVhbdPWMDA7t6a4Nf-7LbF3-4K5W2P_J_RbZgHe7wGbiyuf7OiG_JeTom1F80__JoYJU_4R5g0ms0IbppWBskTxUHFgDNoyVWWXjl8OqZG9</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>875488443</pqid></control><display><type>article</type><title>The Use of Silver Nylon in Preventing Surgical Site Infections Following Colon and Rectal Surgery</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Krieger, Beth R ; Davis, Donald M ; Sanchez, Jaime E ; Mateka, James J. L ; Nfonsam, Valentine N ; Frattini, Jared C ; Marcet, Jorge E</creator><creatorcontrib>Krieger, Beth R ; Davis, Donald M ; Sanchez, Jaime E ; Mateka, James J. L ; Nfonsam, Valentine N ; Frattini, Jared C ; Marcet, Jorge E</creatorcontrib><description>BACKGROUND:Patients who undergo colorectal surgery have up to a 30% chance of developing a surgical site infection postoperatively. Silverlon is a silver nylon dressing designed to prevent surgical site infections, but only anecdotal evidence has previously supported its efficacy.
OBJECTIVE:The aim of this study was to evaluate the effect of silver nylon dressings in patients undergoing colorectal surgery.
DESIGN:We performed a prospective, randomized, controlled trial comparing a silver nylon dressing with gauze dressings in patients undergoing elective colorectal surgery.
SETTING:The study was performed at a university-based, tertiary referral center.
PATIENTS:We studied patients undergoing elective colorectal surgery with an abdominal skin incision of at least 3 cm.
INTERVENTION:Patients were randomly assigned to receive either a silver nylon or a gauze dressing.
MAIN OUTCOME MEASURES:The primary end point was surgical site infection occurring within 30 days of surgery.
RESULTS:One hundred ten patients were enrolled in the study and were randomly assigned to 1 of 2 treatment groups. After a 30-day follow-up period, the incidence of surgical site infection was lower in the silver nylon group compared with the control group (13% vs 33%, P = .011). Twenty-five patients in the study developed superficial surgical site infections, 5 in the silver nylon group and 14 in the control group (P = .021). Two patients in the study group developed deep wound infections compared with 4 in the control group (P = .438). Multivariate analysis revealed that patients in the control group had a 3-fold increase in risk of infection compared with patients in the silver nylon group (P = .013).
LIMITATIONS:A limitation of this study is that the members of the surgical team were not blinded to the treatment groups.
CONCLUSION:Silver nylon is safe and effective in preventing surgical site infection following colorectal surgery.</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1097/DCR.0b013e31821c495d</identifier><identifier>PMID: 21730792</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Hagerstown, MDc: The ASCRS</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Colon - surgery ; Elective Surgical Procedures ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; General aspects ; Human infectious diseases. Experimental studies and models ; Humans ; Infectious diseases ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Occlusive Dressings ; Rectum - surgery ; Silver - therapeutic use ; Surgical Wound Infection - prevention & control ; Treatment Outcome ; Young Adult</subject><ispartof>Diseases of the colon & rectum, 2011-08, Vol.54 (8), p.1014-1019</ispartof><rights>The ASCRS 2011</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4477-e3df344534e9ec192b24797fa9c2370461dca7ca0b6f46396c520a6b9c190ff03</citedby><cites>FETCH-LOGICAL-c4477-e3df344534e9ec192b24797fa9c2370461dca7ca0b6f46396c520a6b9c190ff03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24388363$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21730792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krieger, Beth R</creatorcontrib><creatorcontrib>Davis, Donald M</creatorcontrib><creatorcontrib>Sanchez, Jaime E</creatorcontrib><creatorcontrib>Mateka, James J. L</creatorcontrib><creatorcontrib>Nfonsam, Valentine N</creatorcontrib><creatorcontrib>Frattini, Jared C</creatorcontrib><creatorcontrib>Marcet, Jorge E</creatorcontrib><title>The Use of Silver Nylon in Preventing Surgical Site Infections Following Colon and Rectal Surgery</title><title>Diseases of the colon & rectum</title><addtitle>Dis Colon Rectum</addtitle><description>BACKGROUND:Patients who undergo colorectal surgery have up to a 30% chance of developing a surgical site infection postoperatively. Silverlon is a silver nylon dressing designed to prevent surgical site infections, but only anecdotal evidence has previously supported its efficacy.
OBJECTIVE:The aim of this study was to evaluate the effect of silver nylon dressings in patients undergoing colorectal surgery.
DESIGN:We performed a prospective, randomized, controlled trial comparing a silver nylon dressing with gauze dressings in patients undergoing elective colorectal surgery.
SETTING:The study was performed at a university-based, tertiary referral center.
PATIENTS:We studied patients undergoing elective colorectal surgery with an abdominal skin incision of at least 3 cm.
INTERVENTION:Patients were randomly assigned to receive either a silver nylon or a gauze dressing.
MAIN OUTCOME MEASURES:The primary end point was surgical site infection occurring within 30 days of surgery.
RESULTS:One hundred ten patients were enrolled in the study and were randomly assigned to 1 of 2 treatment groups. After a 30-day follow-up period, the incidence of surgical site infection was lower in the silver nylon group compared with the control group (13% vs 33%, P = .011). Twenty-five patients in the study developed superficial surgical site infections, 5 in the silver nylon group and 14 in the control group (P = .021). Two patients in the study group developed deep wound infections compared with 4 in the control group (P = .438). Multivariate analysis revealed that patients in the control group had a 3-fold increase in risk of infection compared with patients in the silver nylon group (P = .013).
LIMITATIONS:A limitation of this study is that the members of the surgical team were not blinded to the treatment groups.
CONCLUSION:Silver nylon is safe and effective in preventing surgical site infection following colorectal surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Colon - surgery</subject><subject>Elective Surgical Procedures</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>General aspects</subject><subject>Human infectious diseases. Experimental studies and models</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Occlusive Dressings</subject><subject>Rectum - surgery</subject><subject>Silver - therapeutic use</subject><subject>Surgical Wound Infection - prevention & control</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0012-3706</issn><issn>1530-0358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkF1rHCEUhiU0NJu0_yAUb0qvJj1-zDhelk3TBEJT8nEtjnPMTuuOqc5k2X9fl2w_qCBy8Hl98SHklMEZA60-ni9vz6ADJlCwljMndd0fkAWrBVQg6vYVWQAwXgkFzRE5zvl7GYGDek2OOFMClOYLYu9XSB8y0ujp3RCeMdGv2xBHOoz0W8JnHKdhfKR3c3ocnA2FmZBejR7dNMQx04sYQtzskGXcxezY09tyuUNLBtP2DTn0NmR8uz9PyMPF5_vlZXV98-Vq-em6clIqVaHovZCyFhI1OqZ5x6XSylvtePmCbFjvrHIWusbLRujG1Rxs0-nCgvcgTsiHl3efUvw5Y57MesgOQ7AjxjmbVtWybaUUhZQvpEsx54TePKVhbdPWMDA7t6a4Nf-7LbF3-4K5W2P_J_RbZgHe7wGbiyuf7OiG_JeTom1F80__JoYJU_4R5g0ms0IbppWBskTxUHFgDNoyVWWXjl8OqZG9</recordid><startdate>201108</startdate><enddate>201108</enddate><creator>Krieger, Beth R</creator><creator>Davis, Donald M</creator><creator>Sanchez, Jaime E</creator><creator>Mateka, James J. L</creator><creator>Nfonsam, Valentine N</creator><creator>Frattini, Jared C</creator><creator>Marcet, Jorge E</creator><general>The ASCRS</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201108</creationdate><title>The Use of Silver Nylon in Preventing Surgical Site Infections Following Colon and Rectal Surgery</title><author>Krieger, Beth R ; Davis, Donald M ; Sanchez, Jaime E ; Mateka, James J. L ; Nfonsam, Valentine N ; Frattini, Jared C ; Marcet, Jorge E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4477-e3df344534e9ec192b24797fa9c2370461dca7ca0b6f46396c520a6b9c190ff03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Colon - surgery</topic><topic>Elective Surgical Procedures</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>General aspects</topic><topic>Human infectious diseases. Experimental studies and models</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Occlusive Dressings</topic><topic>Rectum - surgery</topic><topic>Silver - therapeutic use</topic><topic>Surgical Wound Infection - prevention & control</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krieger, Beth R</creatorcontrib><creatorcontrib>Davis, Donald M</creatorcontrib><creatorcontrib>Sanchez, Jaime E</creatorcontrib><creatorcontrib>Mateka, James J. L</creatorcontrib><creatorcontrib>Nfonsam, Valentine N</creatorcontrib><creatorcontrib>Frattini, Jared C</creatorcontrib><creatorcontrib>Marcet, Jorge E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krieger, Beth R</au><au>Davis, Donald M</au><au>Sanchez, Jaime E</au><au>Mateka, James J. L</au><au>Nfonsam, Valentine N</au><au>Frattini, Jared C</au><au>Marcet, Jorge E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Use of Silver Nylon in Preventing Surgical Site Infections Following Colon and Rectal Surgery</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>2011-08</date><risdate>2011</risdate><volume>54</volume><issue>8</issue><spage>1014</spage><epage>1019</epage><pages>1014-1019</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>BACKGROUND:Patients who undergo colorectal surgery have up to a 30% chance of developing a surgical site infection postoperatively. Silverlon is a silver nylon dressing designed to prevent surgical site infections, but only anecdotal evidence has previously supported its efficacy.
OBJECTIVE:The aim of this study was to evaluate the effect of silver nylon dressings in patients undergoing colorectal surgery.
DESIGN:We performed a prospective, randomized, controlled trial comparing a silver nylon dressing with gauze dressings in patients undergoing elective colorectal surgery.
SETTING:The study was performed at a university-based, tertiary referral center.
PATIENTS:We studied patients undergoing elective colorectal surgery with an abdominal skin incision of at least 3 cm.
INTERVENTION:Patients were randomly assigned to receive either a silver nylon or a gauze dressing.
MAIN OUTCOME MEASURES:The primary end point was surgical site infection occurring within 30 days of surgery.
RESULTS:One hundred ten patients were enrolled in the study and were randomly assigned to 1 of 2 treatment groups. After a 30-day follow-up period, the incidence of surgical site infection was lower in the silver nylon group compared with the control group (13% vs 33%, P = .011). Twenty-five patients in the study developed superficial surgical site infections, 5 in the silver nylon group and 14 in the control group (P = .021). Two patients in the study group developed deep wound infections compared with 4 in the control group (P = .438). Multivariate analysis revealed that patients in the control group had a 3-fold increase in risk of infection compared with patients in the silver nylon group (P = .013).
LIMITATIONS:A limitation of this study is that the members of the surgical team were not blinded to the treatment groups.
CONCLUSION:Silver nylon is safe and effective in preventing surgical site infection following colorectal surgery.</abstract><cop>Hagerstown, MDc</cop><pub>The ASCRS</pub><pmid>21730792</pmid><doi>10.1097/DCR.0b013e31821c495d</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0012-3706 |
| ispartof | Diseases of the colon & rectum, 2011-08, Vol.54 (8), p.1014-1019 |
| issn | 0012-3706 1530-0358 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_875488443 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Colon - surgery Elective Surgical Procedures Female Gastroenterology. Liver. Pancreas. Abdomen General aspects Human infectious diseases. Experimental studies and models Humans Infectious diseases Logistic Models Male Medical sciences Middle Aged Occlusive Dressings Rectum - surgery Silver - therapeutic use Surgical Wound Infection - prevention & control Treatment Outcome Young Adult |
| title | The Use of Silver Nylon in Preventing Surgical Site Infections Following Colon and Rectal Surgery |
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