The Impact of Clean and Sterile Dressing Techniques on Wound Infection Incidence

NURSING ASSIGNMENT PAPER 1
Nursing Assignment Paper
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NURSING ASSIGNMENT PAPER 2
It is always of great importance for the nurses to use the best dressing technique when the
wound surgery is performed for the care of the wound to avoid penetration of pathogens (Ding,
Lin, Marshall and Gillespie 2017). Accordingly, it is usually because infections to the injury are
the most usual severe illnesses obtained after a medical operation and the first few hours after the
wound is affected with microorganisms (Călina et al., 2017). The most vital element of the
management of surgical wounds is the utilization of a clean method for changing the dressing of
the patients with an open post-operative wound.
Clean dressing techniques are utilized in client care to minimize the vast number of
bacteria from one person to another or place to another (Yang, Larose, Della Porta, Schultz and
Gibson 2017). It necessitates strict hand hygiene, ensuring the environment is clean by providing
clean area, by utilization of sterile instruments, suitable gloves together with aversion of direct of
materials and supplies. Hospital-acquired infections account for 38 per cent of all the wound
infections, and the management of the hospital's healthcare is accountable for the economic
effect of those infections (Gelaw, Aweke, Astawesegn, Demissie and Zeleke 2017). Thus, a clear
connection exists amidst hospital-acquired diseases and wound management.
The risks of getting a hospital-acquired infection can be decreased by the maximum
management of wounds by the clinical professionals (Chowdhury, Miller, Lewis, Niesley and
Patel 2016). However, negligence to do so puts the patient’s safety at risk and unmasks the
patient to infection. Nearly the prevalence of hospital-acquired diseases accounting to 15 per cent
has their source in infected surgical wounds.
The PICO question
Considering all the individuals that has wounds be it acute or chronic, does clean or
sterile dressing technique impact the incidence of wound infection?

NURSING ASSIGNMENT PAPER 3
P: people with acute wounds or chronic wounds
I: The approach of clean dressing
C: The approach of sterile dressing
O: Infection
Main body
Search strategy:
Multidisciplinary medical databases such as EMBASE, CINAHL along with PubMed
were searched to find literature associated with sterile together with clean dressing techniques.
English language was the search criteria for all databases. However the article types were
Reviews, Articles, and Articles in Press. Two hundred fifty-eight outcomes were fetched from
PubMed, 339 from EMBASE and 107 from CINAHL. An aggregate of seven-hundred and four
article citations were shifted to proprietary citation management software. Duplicates were
removed across the databases, and the articles that remained for further review were 473 (Kent,
Scardillo, Dale and Pike 2018).
The authentic research surveys was the inclusion criteria for the last review which
comprised of English articles in any age group which managed wound dressing application thus
utilizing either sterile or non-sterile method. Four hundred fifty-seven of the materials were
removed by an initial review remaining 16 citations of which 4 of the materials were recognized
that satisfied all of the inclusion criteria (Kent, Scardillo, Dale and Pike 2018).
Research Findings:
The four articles that satisfied the criteria to reply to the PICO question were identified,
and the primary outcome was the rate of infection on wounds. A multicenter RCT studied
infection rates in 493 consecutive individuals for peripheral skin excisions were allocated two