TY - JOUR T1 - A strategy of evaluation and delayed closure of dirty abdominal wounds reduced wound infections JF - Evidence Based Nursing JO - Evid Based Nurs SP - 117 LP - 117 DO - 10.1136/ebn.4.4.117 VL - 4 IS - 4 A2 - , Y1 - 2001/10/01 UR - http://ebn.bmj.com/content/4/4/117.abstract N2 - Cohn SM, Giannotti G, Ong AW, et al.Prospective randomized trial of two wound management strategies for dirty abdominal wounds.Ann Surg2001 Mar;233:409–13OpenUrlCrossRefPubMedWeb of Science 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, … ER -