DOI: 10.36347/sasjs.2021.v07i10.017

Pages: 601-609

Background: Dressing of post-surgical procedures was mainly dependent on Povidone iodine and saline gauze dressing, with longer hospital stay and more frequent dressing times which lead to increase surgical sites infection rates. Patient and Methods: This study is an observational prospective comparative cross-sectional hospital-based study, was conducted at Omdurman Maternity Hospital from November 2020 till August 2021. Data were collected by standardized questionnaire and analyzed by using SPSS version 20. Results: A total of 196 patients who satisfied the inclusion criteria were included in the study,(95) patients were undergone a povidone iodine dressing and (101) patients were on Hydrocolloid dressing. The mean age of recruited patients was found to be 31 ± 5.6 SD years; the age range was (15-47) years. The most encountered symptom in day zero and day 7 was abdominal pain (89%), which was more in povidone iodine dressing patients (50%, p value < 0.0001). The most encountered symptom in day two was the abdominal pain (34.5%) similarly; it was more in povidone iodine dressing group (25%, p value < 0.0001). The most encountered sign in day seven and day 14 was surgical site tenderness (40%, 32% respectively), and it found to be more in povidone iodine dressing group in days seven (27%, p value 0.008) and day 14 (24%, p value 0.0001). P value was also scientifically significant in wound exudate and Fever, as Povidone iodine dressing showed higher percentages compared to hydrocolloid dressing. 17% of patients showed complete healing days 0f <6 days, 87% of them were of hydrocolloids dressing type (P value < 0.0001). Sixty percent of Hydrocolloid dressing patients retained their activity within (8-14) days postoperatively with significant satisfaction and 53% of povidone iodine patients retained their more than 2 weeks postoperative (P value < 0.0001). The mean total cost of dressing including the dressing frequency and nurse feasting hydrocolloid dressing ........