<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822018000400390</article-id>
<article-id pub-id-type="doi">10.30944/20117582.86</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infección de sitio operatorio en herida abdominal sucia]]></article-title>
<article-title xml:lang="en"><![CDATA[Operative site infection in dirty abdominal wounds]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castaño-Cardona]]></surname>
<given-names><![CDATA[Ana Lucía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pineda-Garcés]]></surname>
<given-names><![CDATA[Catalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza-Arango]]></surname>
<given-names><![CDATA[María Clara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Morales]]></surname>
<given-names><![CDATA[Herman René]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>33</volume>
<numero>4</numero>
<fpage>390</fpage>
<lpage>397</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822018000400390&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822018000400390&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822018000400390&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La infección del sitio operatorio (ISO) es la causa más común de infección en pacientes quirúrgicos. La curación en el periodo posquirúrgico parece tener gran impacto en este resultado.  Objetivo: Evaluar la disminución de infección posoperatoria superficial o profunda en pacientes con heridas abdominales sucias, al realizar curaciones con apósitos de hidrofibra con plata o apósitos de gasa. Asimismo, evaluar la satisfacción y la presencia de dolor durante las curaciones, identificar eventos adversos y cambios en la estancia hospitalaria.  Métodos: Es un ensayo clínico aleatorizado abierto, realizado en pacientes mayores de 18 años operados por alguna urgencia quirúrgica abdominal y con herida clasificada como sucia en el Hospital Universitario San Vicente Fundación o la IPS Universitaria entre diciembre de 2016 y enero de 2018. Durante el seguimiento se tomaron datos de consultas al servicio de urgencias y consulta externa, y así, se evaluaron los reingresos, la ISO y la mortalidad.  Resultados: De 78 pacientes elegibles, se incluyeron 69 en el análisis final: a 34 se les hizo curación con gasa y, a 35, curación con apósitos de hidrofibra. No se encontraron diferencias estadísticamente significativas para el desarrollo de ISO, entre la curación con gasa y aquella con hidrofibra, tampoco en cuanto a la presencia de dolor o la duración de la estancia hospitalaria.  Conclusión: El uso de apósitos de hidrofibra con plata en las curaciones de heridas sucias abdominales, puede tener beneficios. Sin embargo, en este estudio no se encontró ninguna diferencia al compararla con la gasa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Surgical site infection (SSI) is the most common cause of infection in surgical patients. Post-surgical wound care treatment seems to have a great impact on this outcome.  Objective: To evaluate the decrease of superficial or deep SSI in patients with an abdominal surgical wound managing wound care with silver hydrofiber or gauze. Likewise, to evaluate the satisfaction and presence of pain during care of the wound, and to identify adverse events and changes during the hospital stay.  Methods:  Open-label randomized clinical trial carried out in patients older than 18 years with an abdominal surgical emergency at Hospital San Vicente Fundación and IPS Universitaria, Medellín, Colombia, and wound classified as dirty between December 2016 and January 2018. Follow-up of the data of the consultations to the emergency service and external consultations, evaluate readmissions, SSI and mortality associated.  Results: 78 eligible patients, 69 in the final analysis, 34 had wound care treatment with gauze and 35 with hydrofiber dressing. We did not find statistically significant differences for the development of SSI between the wound care treatment with gauze and with hydrofiber, neither in terms of the presence of pain or in the hospital length of stay.  Conclusion: The use of iconic silver hydrofiber in the healing of the dirty abdominal surgical wounds may have benefits, however in this study no difference was found when compared with gauze.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infección de la herida quirúrgica]]></kwd>
<kwd lng="es"><![CDATA[cicatrización de heridas]]></kwd>
<kwd lng="es"><![CDATA[apósitos oclusivos]]></kwd>
<kwd lng="es"><![CDATA[compuestos de plata]]></kwd>
<kwd lng="es"><![CDATA[dolor posoperatorio]]></kwd>
<kwd lng="es"><![CDATA[evolución clínica]]></kwd>
<kwd lng="en"><![CDATA[surgical wound infection]]></kwd>
<kwd lng="en"><![CDATA[wound healing]]></kwd>
<kwd lng="en"><![CDATA[occlusive dressings]]></kwd>
<kwd lng="en"><![CDATA[silver compounds]]></kwd>
<kwd lng="en"><![CDATA[pain, postoperative]]></kwd>
<kwd lng="en"><![CDATA[clinical evolution]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Dumville]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Norman]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Westby]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Blazeby]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[McFarlane]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Welton]]></surname>
<given-names><![CDATA[NJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intra-operative interventions for preventing surgical site infection an overview of Cochrane reviews]]></article-title>
<source><![CDATA[Cochrane Database Syst Rev]]></source>
<year>2017</year>
<volume>2</volume>
<page-range>CD012653</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toon]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
<name>
<surname><![CDATA[Ramamoorthy]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Davidson]]></surname>
<given-names><![CDATA[BR]]></given-names>
</name>
<name>
<surname><![CDATA[Gurusamy]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early versus delayed dressing removal after primary closure of clean and clean-contaminated surgical wounds]]></article-title>
<source><![CDATA[Cochrane Database Syst Rev]]></source>
<year>2013</year>
<volume>9</volume>
<page-range>CD010259</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stayeski]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Abrajano]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Casazza]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bair]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Quan]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Dong]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Silver-Impregnated dressings for Sternotomy Incisions to Prevent Surgical Site Infections in Children]]></article-title>
<source><![CDATA[Am J Crit Care]]></source>
<year>2010</year>
<volume>25</volume>
<page-range>402-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abboud]]></surname>
<given-names><![CDATA[EC]]></given-names>
</name>
<name>
<surname><![CDATA[Settle]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Legare]]></surname>
<given-names><![CDATA[TB]]></given-names>
</name>
<name>
<surname><![CDATA[Marcet]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Barillo]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Silver-based dressings for the reduction of surgical site infection Review of current experience and recommendation for future studies]]></article-title>
<source><![CDATA[Burns]]></source>
<year>2014</year>
<volume>40</volume>
<numero>^s(Suppl.1)</numero>
<issue>^s(Suppl.1)</issue>
<supplement>(Suppl.1)</supplement>
<page-range>30-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li H-Z]]></surname>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Chen J-X]]></surname>
</name>
<name>
<surname><![CDATA[Zheng]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Zhu X-N]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Silver- containing dressing for surgical site infection in clean and clean-contaminated operations A systematic review and meta-analysis of randomized controlled trials]]></article-title>
<source><![CDATA[J Surg Res]]></source>
<year>2017</year>
<volume>215</volume>
<page-range>98-107</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="">
<collab>National Institute for Health and Care Excellence -NICE</collab>
<article-title xml:lang=""><![CDATA[Clinical guideline NICE. Surgical site infections: prevention and treatment]]></article-title>
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vermeulen]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[van Hattem]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Storm-Versloot]]></surname>
<given-names><![CDATA[MN]]></given-names>
</name>
<name>
<surname><![CDATA[Ubbink]]></surname>
<given-names><![CDATA[DT]]></given-names>
</name>
<name>
<surname><![CDATA[Westerbos]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Topical silver for treating infected wounds]]></article-title>
<source><![CDATA[Cochrane Database Syst Rev]]></source>
<year>2007</year>
<page-range>1-43</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morgan]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Nigam]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Naturally derived factors and their role in the promotion of angiogenesis for the healing of chronic wounds]]></article-title>
<source><![CDATA[Angiogenesis]]></source>
<year>2013</year>
<volume>16</volume>
<page-range>493-502</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[FN]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[JO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Chemical burns]]></article-title>
<source><![CDATA[Burns]]></source>
<year>2018</year>
<volume>40</volume>
<page-range>408-13</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alimov]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Lovecchio]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Sinha]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Foster]]></surname>
<given-names><![CDATA[KN]]></given-names>
</name>
<name>
<surname><![CDATA[Drachman]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of a silver-containing hydrofiber dressing for filling abscess cavity following incision and drainage in the emergency department A randomized controlled trial]]></article-title>
<source><![CDATA[Adv Skin Wound Care]]></source>
<year>2013</year>
<volume>26</volume>
<page-range>20-5</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<collab>R.Fattori L.Bertani E.Radice D.Rotmensz N.Misitano P</collab>
<article-title xml:lang=""><![CDATA[Surgical site infections following colorectal cancer surgery A randomized prospective trial comparing common and advanced antimicrobial dressing containing ionic silver]]></article-title>
<source><![CDATA[World J Surg Oncol]]></source>
<year>2012</year>
<volume>10</volume>
<page-range>94</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barnea]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Weiss]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Gur]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A review of the applications of the hydrofiber dressing with silver (Aquacel Ag) in wounds care]]></article-title>
<source><![CDATA[Therapeutics and Clinical Risk Management]]></source>
<year>2010</year>
<volume>6</volume>
<page-range>21-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dumville]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Gray]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Walter]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sharp CA, Page T, Macefield R, et al Dressings for the prevention of surgical site infection]]></article-title>
<source><![CDATA[Cochrane Database Syst Rev]]></source>
<year>2016</year>
<volume>12</volume>
<page-range>CD003091</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
