Effectiveness of iodine-impregnated incise drapes for preventing surgical site infection in patients with clean or clean contaminated wounds: A systematic literature review and cost-consequence analysis.
J Perioper Pract
; 33(12): 368-379, 2023 Dec.
Article
em En
| MEDLINE
| ID: mdl-36705002
ABSTRACT
BACKGROUND:
Surgical site infection is a serious complication associated with significant morbidity, mortality and health care expenditure.AIMS:
To determine the clinical effectiveness and economic impact of using iodine-impregnated incise drapes for preventing surgical site infection.METHODS:
MEDLINE, Embase, Cochrane Library and CINAHL databases were systematically searched. Critical appraisal and synthesis of clinical evidence informed a decision analytical cost-consequence model.FINDINGS:
Nine studies were included in the systematic literature review. Evidence from cardiac surgery patients was considered appropriate to inform the cost analysis. The economic model evaluation estimated cost savings of £549 per patient with the iodophor-impregnated drape in the deterministic analysis and a mean cost saving per patient of £554,172 per 1000 in the probabilistic analysis.CONCLUSION:
Using iodine-impregnated drapes in cardiac surgery patients may effectively reduce infections and provide cost-savings, but further research is required.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Campos Cirúrgicos
/
Iodo
Tipo de estudo:
Health_economic_evaluation
/
Prognostic_studies
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article