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oa ana
tn Wounds Sutured
in the Emergency Department
Effect of Cap and Mask
on Infection Rates
Jou C. Rerun, MD, Davin Hesoruckses, MD., Pa.D.,
oun F. Maser, M.D. avo Davin L. Quico, Pu.D,/Peowia
We describe a prospective study of 508 lacerations repaired in our
srergency departmont in which surgical cap ad mask were worn o0
eterare weeks oni. folowup information cegardng wound outcome
‘8 obianed on 442 (87%) A total of 239 lacerations had boon
[pared by an operator wearing a cap and mask (Group). whe the
ober 203 were repied without use of cap or mast (Gra 1) Our
Jawa fection rate was 128 There was no srafcantaiference iy
ection rates between ou sty groupe
There exis an unexplained die
parcy inthe way lacerations ate
in many American bp
tendon injury oF (@) caused by
Ihuman bites. Operating piyscans
wore surgical cap. an isk oo.
‘Wile surgical caps and masks alternate "weels "only. ‘Surgical
worn routinely inthe operating gloves vere worn by a physicans
these implements sre olten or all wound,
ied inthe emergency depart
ca. Presumably this vet the
sion that tei use woul be
ely to affect infection rates in
ataticaly Incurred Iceratins,
‘hex typo or
ach Iceation was deans for
four minster wil 8 comme
éhorhesdine ghaconateslton by
2 hume wearing sped ap mask
ane sel loves Sai fgtion
find debridement techrques were
lett the duction of the nd
{i phys, Prop nb
ies mere nor ted information
feqarding the patent type and
iceation of wound, dee OF co
tamination anduse ofp and wash
vere recorded on special form
Prior to dscange, “a wounds
ncept those ofthe sap were cone
and Materials
A laccrations sutured by emer:
‘department residents and
endng physicians were inched
es they were (a) more than 12
ol, (8) assocated with eter
ies sich at fractures, ene of
soe 1988
IMJ
linois Medical Journal
linois State Medical Society
Volume 165, No. 6
June 1984
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“There were 508 lacerations
entered into the study. OF theseTable 2
Geoup Comparisons
———— ee
Fowe
recorded variables. We apply
loglinesr, model ax described
bar Doctor
Thi patent wos stured nour hospital emergency roam today. We are
‘ronforing ou icon rate. an wou, tereare, appreciate you" Cor
Dieting we veturing tis card Use one check mak per lecertion. Thank
you
ace
12” wo evidence of infection eae
2