Table 1.
Study | No of participants | No of centres | Surgery type | Sutures used | SSI criteria | Duration of follow-up | Routine prophylactic antibiotics? |
Arslan et al 57 | 177 | 1 | Surgery for pilonidal disease | Vicryl versus Vicryl plus | CDC criteria | 30 days | Yes |
Baracs et al 38 | 385 | 7 | Elective colorectal surgery | PDS versus PDS Plus | Not stated | 30 days | Yes |
Chen et al 39 | 241 | 1 | Head and neck surgery | Vicryl versus Vicryl Plus | Local erythema with purulent discharge, wound dehiscence, or skin necrosis | Not stated | Yes |
Diener et al 7 | 1185 | 24 | Laparotomy | PDS versus PDS Plus | CDC criteria | 30 days | Yes |
Ford et al 40 | 147 | 1 | Paediatric general surgery | Vicryl versus Vicryl Plus | Not stated | 80 days | No |
Galal and El-Hindawy41 | 450 | 1 | All surgery | Vicryl versus Vicryl Plus | CDC criteria | 30 days | Not stated |
Ichida et al 42 | 1023 | 1 | Gastroenterological surgery | Vicryl and PDS II versus Vicryl Plus and PDS Plus | CDC criteria | 30 days | Yes |
Isik et al 43 | 510 | 1 | Cardiac surgery | Vicryl versus Vicryl Plus | CDC criteria | 1 month | Not stated |
Justinger et al 44 | 856 | 1 | Laparotomy | PDS II versus PDS II Plus | CDC criteria | 2 weeks | Yes |
Karip et al 45 | 106 | 1 | Pilonidal sinus excision followed by Karydakis flap repair | Monocryl Plus versus Monocryl | Rash, fever or purulent discharge | 2 weeks | Yes |
Lin et al 56 | 102 | 1 | Total knee replacement surgery | Vicryl versus Vicryl plus | CDC criteria | 30 days | Yes |
Mattavelli et al 2 | 300 | 4 | Elective colorectal surgery | Vicryl and PDS versus Vicryl Plus and PDS Plus | CDC criteria | 30 days | Yes |
Mingmalairak et al 46 | 100 | 1 | Appendectomy | Vicryl versus Vicryl Plus | Not stated | 30 days, 6 months and 1 year | Yes |
Nakamura et al 11 | 410 | 1 | Elective colorectal surgery | Vicryl versus Vicryl Plus | CDC criteria | 30 days | Yes |
Rasic et al 47 | 184 | 1 | Elective colorectal cancer surgery | Vicryl versus Vicryl Plus | Not stated | To discharge | Yes |
Renko et al 33 | 1633 | 1 | Paediatric surgery | Vicryl and Monocryl and PDS versus Vicryl Plus and Monocryl Plus and PDS Plus | CDC criteria | 30 days | In 30% |
Roy et al 55 | 110 | 1 | Gastrointestinal surgery | PDS versus PDS plus | CDC criteria | 30 days | Yes |
Ruiz-Tovar et al 48 | 110 | 3 | Open colorectal surgery with faecal peritonitis | Vicryl versus Vicryl Plus | CDC criteria | 60 days | Yes |
Seim et al 49 | 328 | 1 | CABG (Coronary artery bypass graft) leg wound | Vicryl versus Vicryl Plus | Positive bacterial culture and clinical judgement | 4 weeks | Yes |
Sprowson et al | 2546 | 3 | Primary THR (total hip replacment) or TKR (total knee replacement) | Vicryl versus Vicryl Plus | CDC criteria | 30 days | Yes |
Tabrizi et al 54 | 320 | 2 | Dental implant surgery | Vicryl versus Vicryl plus | CDC criteria | 30 days | Yes |
Thimour-Bergstrom et al 50 | 392 | 1 | CABG (+/-AVR (aortic valve replacement), MVR (Mitral valve replacement)) with saphenous vein graft | Vicryl and Monocryl versus Vicryl Plus and Monocryl Plus | CDC criteria | 60 days | Yes |
Turtiainen et al 51 | 276 | 3 | Non-emergency lower-limb arterial surgery | Vicryl and Monocryl versus Vicryl Plus and Monocryl Plus | CDC criteria | 30 days | Yes |
Williams et al 52 | 150 | 1 | Mastectomy | Vicryl and Monocryl versus Vicryl Plus and Monocryl Plus | CDC criteria | 6 weeks | If considered at risk |
Zhang et al 53 | 101 | 6 | Mastectomy | Chinese silk versus Vicryl Plus | CDC criteria | 30 days | Not stated |
CDC, centre for disease control; RCTs, randomised controlled trials.