Cochrane · systematic review · CD003091
Dressings for the prevention of surgical site infection
Dumville, JC, Gray, TA, Walter, CJ, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
WoundsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
36
current version
GRADE rated
6
No studies
29
Included studies
NR
No studies 29 · 80.6%Ungraded 1 · 2.8%Very low 6 · 16.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Basic wound contact dressing compared with exposed wound
Population: surgical wounds healing by primary intention
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
SSI Assessment method: clinical features of infection Basic wound contact dressing vs exposed wound | no estimate extracted | NR | No studies |
Scarring (further information not reported) Basic wound contact dressing vs exposed wound | no estimate extracted | NR | No studies |
Acceptability of dressing to participant Clean surgery Assessment method: VAS Basic wound contact dressing vs exposed wound | no estimate extracted | NR | No studies |
Ease of dressing removal Basic wound contact dressing vs exposed wound | no estimate extracted | NR | No studies |
Film dressing compared with exposed wound
Population: surgical wounds resulting from clean surgery and healing by primary intention
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
SSI Assessment method: undefined method Film dressing vs exposed wound | RR 0.2 [0.02, 1.69] | 1 study · 107 participants | Very low Downgraded: imprecision |
Scarring (further information not reported) Film dressing vs exposed wound | no estimate extracted | 1 study · 107 participants | Very low Downgraded: risk of bias, imprecision |
Acceptability of dressing to participant Film dressing vs exposed wound | no estimate extracted | 1 study · 107 participants | Very low Downgraded: risk of bias, imprecision |
Ease of dressing removal Film dressing vs exposed wound | no estimate extracted | NR | No studies |
Silver dressing compared with exposed wound
Population: surgical wounds resulting from surgery at risk of contamination and healing by primary intention
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
SSI Assessment method: CDC definition of SSI Silver dressing vs exposed wound | RR 8 [1.02, 62.55] | 1 study · 166 participants | Very low Downgraded: imprecision |
Scarring Silver dressing vs exposed wound | no estimate extracted | NR | No studies |
Acceptability Silver dressing vs exposed wound | no estimate extracted | NR | No studies |
Ease of dressing removal Silver dressing vs exposed wound | no estimate extracted | NR | No studies |
Basic wound contact dressing compared with film dressing
Population: surgical wounds healing by primary intention
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
SSI Assessment method: various methods Basic wound contact dressing vs film dressing | no estimate extracted | NR | No studies |
Scarring Basic wound contact dressing vs film dressing | no estimate extracted | NR | No studies |
Acceptability of dressing to participant Clean surgery Assessment method:VAS, participants rated dressing acceptability (0 = no trouble and 10 = very troublesome) Basic wound contact dressing vs film dressing | no estimate extracted | NR | No studies |
Ease of dressing removal Assessment method: unclear Basic wound contact dressing vs film dressing | no estimate extracted | NR | No studies |
Basic wound contact dressing compared with hydrocolloid dressing
Population: surgical wounds healing by primary intention
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
SSIClean surgery Assessment method: CDC definition of SSI Basic wound contact dressing vs hydrocolloid dressing | no estimate extracted | NR | No studies |
Scarring Clean surgery Assessment method: participants assessed different aspects of scarring as either: excellent, good or fair Basic wound contact dressing vs hydrocolloid dressing | no estimate extracted | NR | No studies |
Acceptability of dressing to participant Clean surgery Assessment method: participants rated whether they were dissatisfied with the dressing Basic wound contact dressing vs hydrocolloid dressing | no estimate extracted | NR | No studies |
Ease of dressing removal Clean surgery Assessment method: questions regarding dressing removal Basic wound contact dressing vs hydrocolloid dressing | no estimate extracted | NR | No studies |
Basic wound contact dressing compared with fibrous‐hydrocolloid dressing
Population: surgical wounds resulting from clean surgery and healing by primary intention
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
SSI Assessment method: signs of infection (redness, tenderness, swelling or exudate) Basic wound contact dressing vs fibrous‐hydrocolloid dressing | RR 1.29 [0.5, 3.28] | 3 studies · 364 participants | Very low Downgraded: risk of bias |
Scarring Basic wound contact dressing vs fibrous‐hydrocolloid dressing | no estimate extracted | 1 study · 80 participants | Ungraded |
Acceptability of dressing to participant Basic wound contact dressing vs fibrous‐hydrocolloid dressing | no estimate extracted | NR | No studies |
Ease of dressing removal Basic wound contact dressing vs fibrous‐hydrocolloid dressing | no estimate extracted | NR | No studies |
Basic wound contact dressing compared with polyurethane matrix hydrocolloid dressings
Population: surgical wounds resulting from clean surgery and healing by primary intention
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
SSI Basic wound contact dressing vs polyurethane matrix hydrocolloid dressings | no estimate extracted | NR | No studies |
Scarring Basic wound contact dressing vs polyurethane matrix hydrocolloid dressings | no estimate extracted | NR | No studies |
Acceptability of dressing to participant Basic wound contact dressing vs polyurethane matrix hydrocolloid dressings | no estimate extracted | NR | No studies |
Ease of dressing removal Assessment method: asked whether dressings were difficult to remove (yes) Basic wound contact dressing vs polyurethane matrix hydrocolloid dressings | RR 12.6 | 1 study · 173 participants | Very low Downgraded: risk of bias |
Basic wound contact dressing compared with silver dressing
Population: surgical wounds resulting from a range of surgical procedures with some risk of contamination healing by primary intention
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
SSI potentially contaminated surgery SSI Assessment method: various clinical measures Basic wound contact dressing vs silver dressing | no estimate extracted | NR | No studies |
Scarring Basic wound contact dressing vs silver dressing | no estimate extracted | NR | No studies |
Acceptability of dressing to participant Basic wound contact dressing vs silver dressing | no estimate extracted | NR | No studies |
Ease of dressing removal Basic wound contact dressing vs silver dressing | no estimate extracted | NR | No studies |
Basic wound contact dressing compared with non‐silver antimicrobial dressings
Population: surgical wounds resulting from clean surgery and healing by primary intention
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
SSI Assessment method: CDC definition of SSI Basic wound contact dressing vs non‐silver antimicrobial dressings | no estimate extracted | NR | No studies |
Scarring Basic wound contact dressing vs non‐silver antimicrobial dressings | no estimate extracted | NR | No studies |
Acceptability of dressing to participant Basic wound contact dressing vs non‐silver antimicrobial dressings | no estimate extracted | NR | No studies |
Ease of dressing removal Basic wound contact dressing vs non‐silver antimicrobial dressings | no estimate extracted | NR | No studies |