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BMJ. 2006 May 6;332(7549):1053-6. Epub 2006 Apr 24.

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

Author information

1
James Cook University, Queensland, Australia. clarshel@hotmail.com

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.

PMID:
16636023
PMCID:
PMC1458594
DOI:
10.1136/bmj.38800.628704.AE
[Indexed for MEDLINE]
Free PMC Article

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