What is the ideal interval between dressing changes during negative pressure wound therapy for open traumatic fractures?

Title
What is the ideal interval between dressing changes during negative pressure wound therapy for open traumatic fractures?
Authors
김연환
Keywords
Flap; Infection; Negative pressure wound therapy; Open fracture
Issue Date
2015-11
Publisher
MA HEALTHCARE LTD
Citation
JOURNAL OF WOUND CARE, v. 24, NO 11, Page. 536-542
Abstract
Objective: Negative pressure wound therapy (NPWT) is effective in infection control during treatment of severe open fractures. However frequent dressing changes during NPWT are costly and cause patient discomfort. If the interval between dressing changes could be extended, these problems would be reduced. In this article we compare the outcomes of open IIIB fractures with 3-day versus 7-day intervals between dressing changes. Method: Patients who sustained Gustilo IIIB open fractures were included. All underwent conventional orthopaedic fixation with delayed latissimus dorsi flap coverage. Group 1 had 3-day intervals between dressing changes and group 2 had 7-day intervals. The final outcomes in the two groups were analysed. Results: There were 38 patients in group 1 and 34 patients in group 2. Although the period between admission and final operation was similar in the two groups, the mean number of NPWT changes was 4.54 in 3 day in group 1 and 1.95 in group 2 (p<0.001). This led to a difference in NPWT-related costs; $341.26 in group 1 and $237.49 in group 2(p<0.001). There was no difference in the frequency of complications such as infection or non-union of fractures. Conclusion: NPWT is useful treatment option for open fractures, to bridge between initial debridement and final microsurgical tissue transfer. Considering patient comfort, the costs related to the NPWT, and the final flap results, a 7-day interval between changes of the NPWT is acceptable. Declaration of interest: The authors have no conflict of interest to declare. © MA Healthcare Limited 2014.
URI
http://www.magonlinelibrary.com/doi/10.12968/jowc.2015.24.11.536http://hdl.handle.net/20.500.11754/29149
ISSN
0969-0700
DOI
http://dx.doi.org/10.12968/jowc.2015.24.11.536
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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