Postoperative wound care protocol prevents surgical site infection after craniotomy
2024

Postoperative Wound Care Protocol Reduces Infections After Craniotomy

Sample size: 3560 publication Evidence: moderate

Author Information

Author(s): Kovryga Kornick Mariya MD, MPH, Lee Eunjung MD, PhD, Wilhelm Lisa MSN, RN, White Janice DNP, RN, Cho Oh-Hyun MD, PhD, Paff Michelle MD, Hsu Frank P.K. MD, PhD, Chen Jefferson MD, PhD, Dickey Linda RN, MPH, Huang Susan S. MD, MPH

Primary Institution: University of California, Irvine Health

Hypothesis

Does a standardized post-craniotomy wound care protocol reduce the incidence of surgical site infections?

Conclusion

Implementing a standardized wound care protocol significantly reduced the risk of surgical site infections after craniotomy.

Supporting Evidence

  • The intervention was associated with a 50% lower odds of surgical site infections.
  • There were significant decreases in problematic wound issues such as incisional clots and erythema.
  • The study included a total of 3560 craniotomy surgeries.

Takeaway

This study shows that having a specific way to take care of wounds after brain surgery can help keep people from getting infections.

Methodology

A prospective quasi-experimental study comparing a baseline period with a standardized wound care protocol during the intervention period.

Limitations

The study was conducted at a single center and was interrupted by the COVID-19 pandemic.

Participant Demographics

Adult patients undergoing craniotomy, with some differences in body mass index and diabetes status between baseline and intervention groups.

Statistical Information

P-Value

0.02

Confidence Interval

(0.3, 0.9)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1017/ice.2024.134

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