Press Release
Best in Class: Scottsdale Wound Management Guide
Comprehensive pocket handbook offers differential diagnosis and treatment options at your fingertips
Malvern, PA (June 8, 2009) – Proper wound care management has become one of the top concerns for many clinicians across various medical specialties. Treatment is specific to the wound type, the patient and the long-term care plan and requires ongoing assessment. Read More
2009 WOUNDS Article Index
Original Research
Efficacy of Ertapenem for Secondary Treatment of Diabetic Foot Infections
Abstract: Background. The diabetic foot is a common site of infections that frequently result in significant patient morbidity and mortality. Antibiotic treatment is an important part of therapy with selection of the specific agent depending on the stage of ulceration. Recently, ertapenem has entered use as first line therapy for moderate to severe diabetic foot infections. The following prospective study recounts the experience of using ertapenem as tertiary salvage therapy following failure of first and second-line antibiotics. Methods. Forty consecutive patients with di
Techniques and Cost Effectiveness of Enteroatmospheric Fistula Isolation
Abstract:
Background. The following describes successful isolation of enteroatmospheric fistulae within a negative pressure wound therapy system (V.A.C.®, KCI, San Antonio, TX). Methods. An impermeable tubular structure was placed around the fistula with a dressing applied to the surrounding wound base, dressed with an impermeable drape and negative pressure, and then an ostomy appliance was placed over the isolated fistula stoma. Cost analysis compared traditional dressings to the NPWT isolation method. Results. All patients underwent fistula isolation with comp
Surgical Wound Fluid From Elderly Patients Shows a Dramatically Reduced Potential to Stimulate In-vitro Recruitment
Abstract:
Purpose. Elderly patients are susceptible to wound healing problems due to impaired neovascularisation in tissue repair. We investigated influence of surgical wound fluid (WF) obtained from both young and aged patients after musculoskeletal surgery on in-vitro recruitment and differentiation of endothelial progenitor cells (EPCs). Further, VEGF and TGF-b1 in WF were measured and blockade experiments were performed to analyze the role of both cytokines in EPC recruitment. Methods. WF was obtained from young (28 ± 5 years, n = 14) and elderly (74 ± 8 years, n =
The Use of a New Wound Alginogel for the Treatment of Partial-thickness Hand Burns
Abstract: The following retrospective analysis reports on patients with partial-thickness wounds admitted to the burn unit of the General Hospital of Athens who were treated with a new alginogel and were later compared to the burn center’s standard treatment. Methods. Patient information from January–December 2008 was analyzed for the number of days until healing and wound bacterial loads. Wound healing was characterized as a quick onset of epithelialization and low occurrence of inflammation. Results. A limited number of wounds (15%) were found to be positive for wound swabs
Large Flap Preservation in a Patient With Extensive Necrotizing Fasciitis
Abstract: Necrotizing fasciitis is a rare yet rapidly progressive life-threatening soft tissue infection. Historically, radical excision (including skin) along with broad-spectrum antibiotics has been the treatment regimen of choice. The authors report a patient treated in the burn unit with extensive necrotizing fasciitis in whom large skin flap preservation was achieved. The staple treatment of necrotizing fasciitis is early recognition, diagnosis, and complete necrosectomy. This process often leads to unnecessary resection of all overlying skin beyond the sentinel region of infection
The Experience of a Geriatric Hospital at Home Service for Acutely Ill Elderly Patients With Pressure Ulcers
Abstract: Background. Pressure ulcers are an often underestimated problem affecting elderly patients. Methods. An observational study was undertaken to evaluate patients admitted from January 2000 to December 2001 to a geriatric hospital affiliated at home service. Results. Four hundred sixty-six patients (44.4% men and 55.6% women) were enrolled. Seventy-nine (16.9%) patients presented with a pressure ulcer upon admission. These patients were more functionally and cognitively impaired and had the poorest nutritional status. Anorexia and asthenia were significantly
Current Microbiology of Surgical Site Infections Associated With Breast Cancer Surgery
Abstract: Surgical site infections (SSI) are the most common complications of breast cancer surgery. The authors identified 35 cases of SSI in the M.D. Anderson Cancer Center (Houston, TX) over a 7-month study period. Monomicrobial infections predominated (69%) with Staphylococcus aureus being isolated most often. A wide variety of gram-positive and gram-negative organisms were isolated from the 31% of polymicrobial infections, suggesting the need for broad-spectrum coverage at least until culture results become available. Although all S aureus isolates were susceptible to vancomycin (m
Unusual Cheek and Upper Extremity Pressure Ulcers Resulting from Head-on-Hand and Arm Napping
Abstract: Pressure ulcers commonly occur on the sacrum, ischium, lateral trochanter, and heel where pressure or shearing forces continuously affect bony prominences. The following describes three cases of unusual pressure ulcers of the cheek and upper extremity. Patients developed the wounds as a result of lying face downward on the hand for a prolonged period. All facial wounds were treated conservatively and eventually healed, but the damage to the hands was irreversible due to severe complications related to muscle contraction. The authors suggest that the risk fa
The Consistent Delivery of Negative Pressure to Wounds Using Reticulated, Open Cell Foam and Regulated Pressure Feedback
Abstract: Negative pressure wound therapy (NPWT) is used to manage wounds and promote wound healing. The most common form of NPWT utilizes reticulated, open cell foam (ROCF). Pressure is transferred to the wound by ROCF using T.R.A.C.™ Technology (regulated pressure feedback [RPF]) creating an environment that promotes healing. This study examines the effectiveness of ROCF versus gauze in inducing macrostrain and investigates the ability of NPWT/ROCF/RPF to consistently deliver negative pressure to the wound, compensating for constantly changing wound fluid characteristics. In an in-v
Hypoxia is Involved in Deep Tissue Injury Formation in a Rat Model
Abstract: Pressure ulcers that develop from deep tissue are known as deep tissue injuries (DTI). Although several mechanisms, including ischemic hypoxia, are attributed to pressure ulcer formation, the mechanisms involved in DTI formation are still unclear. Previous studies have suggested that hypoxia is involved in DTI in vitro, but it has yet to be determined whether hypoxia is also involved in DTI in vivo. Therefore, this study aimed to investigate whether hypoxia is involved in DTI using a newly established DTI model. Rats were divided into control, low pressure DTI, and high pressure DTI
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Education
ON-DEMAND WEBCAST - How Advanced Wound Dressing Technology Helps Progress Chronic Wound Healing
Non-Accredited
Taking the Complexity Out of Diabetic Foot Management - Complimentary On-Demand Webcast
Non-Accredited
Simple Steps in Wound Healing to Achieve Success for Your Patients and Practice - Complimentary On-Demand Webcast
Non-Accredited
CLINICAL EVENTS CALENDAR
- Wound Clinic Business MeetingStart Date:October 8, 2010End Date:October 8, 2010
Cincinnati, OH
- SAWC/WHS Spring 2011
- SAWC FallStart Date:September 23, 2010End Date:September 25, 2010
Anaheim Convention Center
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