Suntarajoo, Purani A/P
(2003)
The effectiveness of surgical wound dressing
by nurses for patients undergoing elective
surgery in Hospital Universiti Sains Malaysia
Kelantan.
Other thesis, Universiti Sains Malaysia.
Abstract
Introduction: The incidence of surgical site infection is 23.3% in Hospital
Universiti Sains Malaysia in the year 2000. The causeS of surgical site infections
include poor care during preoperative, intraoperative and postoperative period
During postoperative period, the surgical wound dressing by nurses play a
significant role in the occurrence of surgical site infection.
Objective: To reduce the rate of surgical site infection by identifying the risk
factor for surgical site infection and the effectiveness of surgical wound dressing
Methodology: Data collection was done using pro forma through follow up of
patients. Data were collected· on the 3rd and 7th postoperative day for each
sample. The pro forma composed of two section. The first section contains
demographic data and another section consist of investigation data. In the
investigation section, the data was divided into three categories which were
related to the surgery undergone , dressing done by nurses and parameter used
to identify surgical wound infection. Wound culture was taken on day 3 and
day?.
Results: Six out of 15 patients underwent elective surgery developed surgical
site infection attributable to poor preoperative and intraoperative care. Four out
of the 15 patients developed surgical site infection attributable to poor wound
dressing.
Conclusion: The risk factors for surgical site infection include, the type of
surgery (TAHBSO}, the duration of surgery (more then 1 hour) and the dressing
by op-site spray. The preoperative prophylaxis and the. frequency of-dressing did
not influence· the incidence of surgical site infection. Due to time constrain~ only
a small number of sample could be induded in this study. A study including a
large number of sample would be recommended to support the findings of this
study.
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