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Use of Surgical Masks in the Operating Room: A Review of the Clinical Effectiveness and Guidelines [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2013 Nov 19.

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Use of Surgical Masks in the Operating Room: A Review of the Clinical Effectiveness and Guidelines [Internet].

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Appendix 7Summary of Systematic Review Findings

First
Author,
Publication
Year
Main Study FindingsAuthor's Conclusions
Lipp and Edwards, 2002 (updated 2012)72106 patients in three trials – no statistically significant differences found

Postoperative Wound Infections – Clean Surgery Only
ODR<1 favours SFM
2 quasi-RCTs
  1. ODR(95%CI): 1.34 (0.58, 3.07)
  2. ODR(95%CI): 0.07 (0.00, 1.63)

1 RCT
  1. ODR(95%CI):1.17 (0.70, 1.97)
“From the limited results, it is unclear whether the wearing of surgical face masks by the surgical team either increases or reduces the risk of surgical site infection in patients undergoing clean surgery.”7 (p. 10)
Bahli, 200918311 patients in three trials

Postoperative Would Infections
2 quasi-RCTs – no statistically significant differences
  1. 3.5% without SFM, 4.7% with SFM
  2. 30% without SFM, 0% with SFM

1 PCS – statistical significance favouring no SFMs
  1. 1.8% without SFM, 4.4% with SFM (P<0.05)
“Evidence regarding effectiveness of surgical facemasks in preventing postoperative wound infection in elective surgery is inconclusive. It is difficult to alter current clinical practice of wearing facemasks in theatres on the basis of current evidence.”1 (p. 170)

CI=confidence interval; ODR=odds ratio; PCS=prospective cohort study; RCT=randomized controlled trial; SFM=surgical face mask

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Bookshelf ID: NBK195764

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