ABSTRACT OF THE WEEK

Journal of the American Veterinary Medical Association
Volume 257 | Issue 1 (July 2020)

Randomized, controlled clinical trial to assess the effect of antimicrobial-impregnated suture on the incidence of surgical site infections in dogs and cats.

J Am Vet Med Assoc. July 2020;257(1):62-69.

Kelley M Thieman-Mankin, Noah D Cohen

Abstract

OBJECTIVE:To evaluate the prophylactic efficacy of triclosan-coated (TC) suture in preventing surgical site infections (SSIs) in dogs and cats undergoing surgical procedures.

ANIMALS:862 animals (794 dogs and 68 cats).

PROCEDURES:Incidences of SSI of surgical wounds closed with TC suture and surgical wounds closed with non-TC suture occurring between the time of surgery and 1 month postoperatively were compared. Animals were randomly assigned to TC or non-TC suture groups. When TC suture was assigned, all suture available as TC material was used rather than non-TC suture. Presence of an SSI was determined by an owner questionnaire or direct examination.

RESULTS:Overall, 50 of 862 (5.8%) animals developed SSIs. Incidence of SSI was 6% (24/428) in the non-TC suture group and 6% (26/434) in the TC suture group. No significant difference was found in the incidence of SSI between groups. No significant difference was detected in the incidence of incisional problems (eg, redness, dehiscence, and seroma formation) between animals in which TC suture was used and those in which non-TC suture was used. On multivariable analysis, other factors were associated with increased SSI rates, including an incision length > 10 cm, surgery performed by the soft tissue surgery department, and anesthesia duration of > 240 minutes.

CONCLUSIONS AND CLINICAL RELEVANCE:No significant difference in incidence of SSI was detected between animals undergoing surgical procedures performed with non-TC versus TC suture.

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