Comparative study of chlorhexidine dressings versus simple gauze dressings in midline laparotomy wound

Authors

  • Jignesh A. Gandhi Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra
  • Pravin H. Shinde Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra
  • Alpana A. Awasthi Department of Surgery, Global Hospital, Super specialty and transplant center, Mumbai, Maharashtra
  • Rohan Digarse Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra
  • Amit P. Kawle Department of General Surgery, Seth GSMC and KEMH, Mumbai, Maharashtra

DOI:

https://doi.org/10.18203/2320-6012.ijrms20163136

Keywords:

Chlorhexidine dressings, Simple gauze dressings, Bacterial infection/ colonization, Healing, Pain

Abstract

Background: Wound infections are the most common complication of surgery that adds significantly to the morbidity of the patient and the cost of the treatment. Most of the surgical site infections are preventable. Dressing is an active element of wound management, designed to control infection and promote healing. This study was done to compare clinical efficacy of normal gauze dressings versus chlorhexidine dressings in midline laparotomy wounds.

Methods: Patients with midline laparotomy incision were randomized to receive either gauze or chlorhexidine dressings. Bacterial colonization, post- operative fever, frequency of infection, change of dressings, hospital stay and postoperative pain were assessed at the start of treatment and at weekly intervals until full healing occurred.

Results: A total of 128 patients were enrolled in the study and divided into 2 groups viz chlorhexidine group (Group A) and Simple gauze group (Group B) with 64 patients each. Wound cultures, change of antibiotics, post-operative soakage, median hospital stay duration, postoperative pain, post- operative wound infection, and follow up visits for wound healing were compared between two groups A and B and statistical significance established.

Conclusions: The analysis of wound culture, fever incidence and frequency of infection on Chlorhexidine dressings showed decreasing trends compared to traditional dressings.

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Published

2016-12-19

How to Cite

Gandhi, J. A., Shinde, P. H., Awasthi, A. A., Digarse, R., & Kawle, A. P. (2016). Comparative study of chlorhexidine dressings versus simple gauze dressings in midline laparotomy wound. International Journal of Research in Medical Sciences, 4(10), 4272–4278. https://doi.org/10.18203/2320-6012.ijrms20163136

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Section

Original Research Articles