Preventing surgical site infection using operating room bundle of care in patients undergoing elective exploratory laparotomy cholecystectomy surgery

Figure 1.

Figure 2.

Differences in patients’ wound status between control and experimental groups after application of the operating room bundle of care and usual care per day of evaluation_

Day of evaluation	Mean	SD	Mann–Whitney	P-value	Interpretation
Day 1 Hemostasis phase			390	P = 0.355> 0.05	Not significant
Control	28.13	1.48
Experimental	28.5	0.86
Day 2 Inflammatory phase			129.5	P = 0.000< 0.05	Significant
Control	23.73	1.44
Experimental	21.45	1.54
Day 3 Proliferative phase			0	P = 0.000< 0.05	Significant
Control	19.83	0.79
Experimental	15.83	0.75

Patients wound status based on BWAT in the control group_

BWAT score	Day 1 Hemostasis phase		Day 2 Inflammatory phase		Day 3 Proliferative phase
	F	%	F	%	F	%
18.0					1	3.3
19.0					9	30.0
20.0					14	46.7
21.0			1	3.3	6	20.0
21.5			1	3.3
22.0			4	13.3
22.5			1	3.3
23.0			5	16.7
23.5			2	6.7
24.0			7	23.3
25.0			6	20.0
26.0	6	20.0	2	6.7
27.0	4	13.3	1	3.3
28.0	8	26.7
29.0	4	13.3
30.0	8	26.7
Total	30	100.0	30	100.0	30	100.0
Mean		28.13		23.73		19.83
SD		1.48		1.44		0.79
VI.	Mild severity		Mild severity		Minimal severity

Patients’ wound status based on BWAT in the experimental group_

BWAT score	Day 1 Hemostasis phase		Day 2 Inflammatory phase		Day 3 Proliferative phase
	F	%	F	%	F	%
15.0					11	36.7
16.0					13	43.3
17.0					6	20.0
18.0
19.0			5	16.7
20.0			4	13.3
21.0			2	6.7
21.5			1	3.3
22.0			11	36.7
22.5			1	3.3
23.0			4	13.3
23.5
24			1	3.3
24.5			1	3.3
25.0
26.0
27.0	2	6.7
28.0	16	53.3
29.0	7	23.3
30.0	5	16.7
Total	30	100.0	30	100.0	30	100.0
Mean		28.50		21.45		15.83
S.D.		0.86		1.54		0.75
VI	Mild severity		Mild severity		Minimal severity

The day-to-day comparison of patients’ wound status after the application of usual care and operating room bundle of care_

Phases of wound healing process	Mean	SD	Chi-square	P-value
Control group			60	P = = 0.000<0.05*
Hemostasis	28.13	1.48
Inflammatory	23.73	1.44
Proliferative	19.83	0.79
Experimental group			60	P = 0.000<0.05*
Hemostasis	28.5	0.86
Inflammatory	21.45	1.54
Proliferative	15.83	0.75