• Corpus ID: 814003

Does evidence based medicine support the effectiveness of surgical facemasks in preventing postoperative wound infections in elective surgery?

@article{Bahli2009DoesEB,
  title={Does evidence based medicine support the effectiveness of surgical facemasks in preventing postoperative wound infections in elective surgery?},
  author={Zahid Mehmood Bahli},
  journal={Journal of Ayub Medical College, Abbottabad : JAMC},
  year={2009},
  volume={21 2},
  pages={
          166-70
        }
}
  • Z. Bahli
  • Published 1 June 2009
  • Medicine
  • Journal of Ayub Medical College, Abbottabad : JAMC
BACKGROUND The incidence of postoperative wound infection is usually not the cause of death but it increases the length of hospital stay and cost of care and morbidity. Since their introduction a century ago there is still controversy about primary purpose of the facemasks as whether they provide protection for the patient from surgical team or weather they protect surgical team from the patient? The Objectives of this study were to critically analyze and systematically review the randomized… 

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References

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The results indicate that the use of face masks might be reconsidered, as they have not been proven to protect the patient operated by a healthy operating team.

Surgical face masks in the operating theatre: re-examining the evidence.

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The purpose of this review is to evaluate the latest evidence for and against routine use of surgical face masks in the operating theatre.

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It is unclear whether wearing surgical face masks results in any harm or benefit to the patient undergoing clean surgery, and a trend towards masks being associated with fewer infections is seen.

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A randomly controlled trial was performed on 41 women having gynaecological surgery in which the team of surgeons and nurses wore or did not wear masks, and three patients in the unmasked group developed wound infections after major abdominal surgery.

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Surgical face masks and downward dispersal of bacteria

Analysis of the number of bacterial colonies grown on each agar plate showed a statistically significant reduction in the median number of colonies cultured per plate when the mask was worn, suggesting that for procedures lasting less than 15 min, the operator should wear a face mask.

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Abstract The most important factors in controlling postsurgical sepsis are appropriate surgical judgment and technique. Efficacious prophylactic antibiotics, when indicated, also significantly reduce