Evid Based Nurs 4:117 doi:10.1136/ebn.4.4.117
  • Treatment

A strategy of evaluation and delayed closure of dirty abdominal wounds reduced wound infections

 QUESTION: Does a strategy of evaluation and delayed primary closure (E/DPC) of dirty abdominal wounds decrease wound infection compared with primary closure (PC)?


Randomised {allocation concealed}*, unblinded, controlled trial with follow up at ≥1 month.


A university hospital and a trauma centre in Miami, Florida, USA.


51 patients ≥18 years of age who were admitted to the trauma/emergency surgery or colorectal services and had dirty abdominal wounds at the time of surgery. Dirty abdominal wounds were defined as involving pre-existing clinical infection, perforated viscera, or traumatic wounds with viscus injury more than 4 hours from the time of injury with retained devitalised tissue. 96% of patients (mean age 46 y, 76% men) were included in the final analysis.


Allocation was stratified by type of wound (appendectomy and other abdominal wounds). 26 patients were allocated to …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article