• Rev Esc Enferm Usp · Nov 2018

    Review

    Dressings used to prevent surgical site infection in the postoperative period of cardiac surgery: integrative review.

    • Ana Laura Gomide Vieira, Janislei Giseli Dorociaki Stocco, Anna Carolina Gaspar Ribeiro, and Cristina Valéria Frantz.
    • Universidade Federal do Paraná, Hospital de Clínicas, Programa de Residência Integrada Multiprofissional em Atenção Hospitalar, Curitiba, PR, Brasil.
    • Rev Esc Enferm Usp. 2018 Nov 29; 52: e03393.

    ObjectiveTo identify and describe which dressings are recommended to prevent surgical site infection in hospitalized adult patients after cardiac surgeries.MethodIntegrative review carried out in the databases MEDLINE, LILACS, CINAHL, Web of Science, Cochrane and Scopus. Studies related to dressing in the postoperative period of cardiac surgery were selected.ResultsSeven articles were included, with the following dressings: negative pressure wound therapy, silver nylon dressing, transdermal delivery of continuous oxygen and impermeable adhesive drape. The dressings that led to reduction of infection were negative pressure and silver nylon dressings.ConclusionIt was not possible to identify which dressing is most recommended, however, some studies show that certain types of dressings were related to the reduction of infection. Clinical trials with a rigorous methodological design and representative samples able to minimize the risk of bias should be conducted to evaluate the effectiveness of dressings in the prevention of surgical site infection.

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