Influence of dressing application time after breast augmentation on cutaneous colonization: A randomized clinical trial

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dc.contributor.authorMendes, Denise de Almeida [UNIFESP]
dc.contributor.authorVeiga, Daniela Francescato [UNIFESP]
dc.contributor.authorVeiga-Filho, Joel [UNIFESP]
dc.contributor.authorLoyola, A. B. A. T.
dc.contributor.authorPaiva, L. F.
dc.contributor.authorNovo, Neil Ferreira [UNIFESP]
dc.contributor.authorSabino Neto, Miguel [UNIFESP]
dc.contributor.authorFerreira, L. M. [UNIFESP]
dc.date.accessioned2018-07-26T12:18:41Z
dc.date.available2018-07-26T12:18:41Z
dc.date.issued2018
dc.description.abstractConcepts regarding the best way to treat a surgical wound vary, in literature, ranging from no dressing use to dressing maintenance for 24 to 48 hours or until suture removal. This study aimed to evaluate the influence of the length of dressing maintenance after breast augmentation with implants on cutaneous colonization and surgical site infection. This is a two-arm, parallel group, randomized clinical trial. Eighty patients who were candidates for augmentation mammoplasty with silicone implants were randomly allocated to two groups, in which the dressing was removed on postoperative day 1 (group A, n = 40) or postoperative day 6 (group B, n = 40). Cutaneous colonization was examined by culturing samples collected before and after dressing removal. The criteria defined by the Centers for Disease Control and Prevention were used to assess surgical site infection. No significant difference regarding cutaneous colonization was observed between groups before dressing application. On postoperative day 6, significantly more bacterial growth was observed in group A (p = 0.01). No surgical site infection occurred. We concluded that maintaining the dressing for 6 days led to a lower cutaneous colonization but did not influence surgical site infection rates. (c) 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.en
dc.description.affiliationUniv Fed Sao Paulo UNIFESP, Translat Surg Grad Program, Rua Botucatu,740-2 Andar, BR-04023900 Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo UNIFESP, Div Plast Surg, Rua Botucatu,740-2 Andar, BR-04023900 Sao Paulo, SP, Brazil
dc.description.affiliationUniv Vale Sapucai UNIVAS, Div Plast Surg, Ave Prefeito Tuany Toledo 470, BR-37550000 Pouso Alegre, MG, Brazil
dc.description.affiliation[Loyola, A. B. A. T.
dc.description.affiliationPaiva, L. F.] Univ Vale Sapucai UNIVAS, Dept Microbiol, Ave Coronel Alfredo Custodio Paula 320, BR-37553068 Pouso Alegre, MG, Brazil
dc.description.affiliation[Novo, N. F.] Univ Vale Sapucai UNIVAS, Dept Biostat, Ave Prefeito Tuany Toledo 470, BR-37550000 Pouso Alegre, MG, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo UNIFESP, Translat Surg Grad Program, Rua Botucatu,740-2 Andar, BR-04023900 Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo UNIFESP, Div Plast Surg, Rua Botucatu,740-2 Andar, BR-04023900 Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Minas Gerais - FAPEMIG, Brazil
dc.description.sponsorshipUniversidade do Vale do Sapucai
dc.format.extent906-912
dc.identifierhttp://dx.doi.org/10.1016/j.bjps.2018.01.021
dc.identifier.citationJournal Of Plastic Reconstructive And Aesthetic Surgery. Oxford, v. 71, n. 6, p. 906-912, 2018.
dc.identifier.doi10.1016/j.bjps.2018.01.021
dc.identifier.issn1748-6815
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/46001
dc.identifier.wosWOS:000432452500020
dc.language.isoeng
dc.publisherElsevier Sci Ltd
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectBreasten
dc.subjectProsthesis implantationen
dc.subjectAugmentation mammaplastyen
dc.subjectPostoperative careen
dc.subjectDressingsen
dc.subjectBacterial growthen
dc.titleInfluence of dressing application time after breast augmentation on cutaneous colonization: A randomized clinical trialen
dc.typeinfo:eu-repo/semantics/article
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