Influence of Adhesive Incise Drape Use on Surgical Site Infection Rates in Contaminated and Dirty Abdominal...

Area of Science:

• Infection Control
• Surgical Safety
• Microbiology

Background:

• Surgical Site Infection (SSI) is a primary Healthcare-Associated Infection (HCAI).
• Contaminated and dirty abdominal wounds have high SSI rates, posing significant patient and healthcare burdens.

Purpose of the Study:

• To compare SSI rates between iodine-impregnated adhesive incise drapes (Ioban) and conventional drapes.
• To evaluate the efficacy of Ioban in contaminated and dirty abdominal wounds in Nigeria.

Main Methods:

• Prospective study of adult patients undergoing laparotomy for contaminated/dirty wounds.
• Comparison of SSI rates in patients with Ioban plus conventional drapes versus conventional drapes alone.
• 30-day follow-up for SSI detection.

Main Results:

• Overall SSI rate was 54.5% in 55 patients completing follow-up.
• SSI rate was 46.4% with iodine-impregnated drapes vs. 63% with conventional drapes.
• The difference in SSI rates was not statistically significant (p=0.22).
• Klebsiella species was the most common pathogen isolated.

Conclusions:

• Iodine-impregnated drapes demonstrated a non-significant trend towards reduced SSI rates.
• Larger studies are required to confirm the potential cost-effectiveness of iodine-impregnated drapes in this setting.