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Effect of three wound dressings on infection, healing comfort, and cost in patients with sternotomy wounds - a randomized trial

Wynne, Rochelle, Botti, Mari, Stedman, Hilary, Holsworth, Lynda, Harinos, Maria, Flavell, Olivia and Manterfield, Christianne 2004, Effect of three wound dressings on infection, healing comfort, and cost in patients with sternotomy wounds - a randomized trial, Chest : the cardiopulmonary and critical care journal, vol. 125, no. 1, pp. 43-49.

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Title Effect of three wound dressings on infection, healing comfort, and cost in patients with sternotomy wounds - a randomized trial
Author(s) Wynne, Rochelle
Botti, Mari
Stedman, Hilary
Holsworth, Lynda
Harinos, Maria
Flavell, Olivia
Manterfield, Christianne
Journal name Chest : the cardiopulmonary and critical care journal
Volume number 125
Issue number 1
Start page 43
End page 49
Publisher American College of Chest Physicians
Place of publication Northbrook, Ill.
Publication date 2004
ISSN 0012-3692
1931-3543
Keyword(s) cardiac surgery
sternotomy incision
wound dressing
Summary Study objective: To compare three dressing types in terms of their ability to protect against infection and promote healing, patient comfort, and cost-effectiveness.

Design: Prospective, randomized controlled trial.

Setting: Major metropolitan, academically affiliated, tertiary referral center.

Patients: Seven hundred thirty-seven patients were randomized to receive a dry absorbent dressing (n = 243) [Primapore; Smith & Nephew; Sydney, NSW, Australia], a hydrocolloid dressing (n = 267) [Duoderm Thin ConvaTec; Mulgrave, VIC, Australia], or a hydroactive dressing (n = 227) [Opsite; Smith & Nephew] in the operating theater on skin closure.

Results: There was no difference in the rate of wound infection or wound healing between treatment groups. The Primapore dressing was the most comfortable and cost-effective dressing option for the sternotomy wound. Duoderm Thin dressings were associated with increased wound exudate (p < 0.001), poor dressing integrity (p < 0.001), more frequent dressing changes (p < 0.001), more discomfort with removal (p < 0.05), and increased cost (p < 0.001).

Conclusions: In the context of no additional benefit for the prevention of wound infection or the rate of wound healing for any of the three dressing products examined, dry absorbent dressings are the most comfortable and cost-effective products for sternotomy wounds following cardiac surgery.
Notes Reproduced with the kind permission of the copyright owner.
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2004, American College of Chest Physicians
Persistent URL http://hdl.handle.net/10536/DRO/DU:30002584

Document type: Journal Article
Collections: School of Nursing and Midwifery
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.