Can sutures get wet? Prospective randomised controlled trial of wound management in general practice

Clare Heal, Petra Buettner, Beverly Raasch, Sheldon Browning, David Graham, Rachel Bidgood, Margaret Campbell, Robert Cruikshank, Clare Heal, Petra Buettner, Beverly Raasch, Sheldon Browning, David Graham, Rachel Bidgood, Margaret Campbell, Robert Cruikshank

Abstract

Objective: To compare standard management of keeping wounds dry and covered with allowing wounds to be uncovered and wet in the first 48 hours after minor skin excision.

Design: Prospective, randomised controlled, multicentre trial testing for equivalence of infection rates.

Setting: Primary care in regional centre, Queensland, Australia.

Participants: 857 patients randomised to either keep their wound dry and covered (n = 442) or remove the dressing and wet the wound (n = 415).

Results: The incidence of infection in the intervention group (8.4%) was not inferior to the incidence in the control group (8.9%) (P < 0.05). The one sided 95% confidence interval for the difference of infection rates was infinity to 0.028.

Conclusion: These results indicate that wounds can be uncovered and allowed to get wet in the first 48 hours after minor skin excision without increasing the incidence of infection.

Figures

Fig 1
Fig 1
Wound management protocol in wet (intervention) and dry (control) groups
Fig 2
Fig 2
Flowchart of enrolment, randomisation, and follow-up of patients

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Source: PubMed

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