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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

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CLINICAL EVENTS CALENDAR

Original Research

Efficacy of Ertapenem for Secondary Treatment of Diabetic Foot Infections

VOLUME: PUBLICATION DATE: Jun 01 2010
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Issue: 
6: June 2010

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.

The Limited Access Dressing for Damage Control in Trauma Patients

VOLUME: 22 PUBLICATION DATE: Jul 01 2010
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Issue: 
7: July 2010

Abstract: The leeching effects of the Limited Access Dressing (LAD) effectively controls infection, reduces edema, promotes earlier physiotherapy, and helps to control secondary damage to trauma cases, which results in faster wound bed preparation, reconstruction, and quicker rehabilitation. The following is a case series of 20 consecutive patients treated with LAD without specific controls. In eight cases bone was exposed, in three cases tendon was exposed, in two cases both bone and tendon were exposed, and in one case an injured brachial artery was exposed.

The Effects of Normal Saline Instillation in Conjunction With NPWT on Wound Healing in a Porcine Model

VOLUME: 22 PUBLICATION DATE: Jul 01 2010
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Issue: 
7: July 2010

Abstract:

Acute and chronic wounds impact the lives of millions of patients. Since its introduction, negative pressure wound therapy using reticulated open cell foam (NPWT/ROCF) has significantly improved the healing outcome for many of these wounds. Methods. The effects of intermittent instillation of normal saline in conjunction with NPWT were investigated to determine if instillation therapy provides additional benefits in wound healing. Conventional NPWT/ROCF as delivered by V.A.C.® Therapy was compared to V.A.C.

17β-Estradiol Modifies Diabetic Wound Healing by Decreasing Matrix Metalloproteinase Activity

VOLUME: 22 PUBLICATION DATE: Jul 01 2010
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Issue: 
7: July 2010

Abstract:

Postmenopausal women are more susceptible to poor wound healing. This phenomenon can be reversed by estrogen replacement therapy in non-diabetic individuals. Postmenopausal women with type 2 diabetes are more susceptible to wound healing complications, potentially secondary to an estrogen deficiency. Few studies have examined the mechanism of action and effects of estrogens on diabetic wound healing in females.

In-vitro Comparison of Antimicrobial Efficacy of Various Wound Dressing Materials

VOLUME: 22 PUBLICATION DATE: Jul 01 2010
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Issue: 
7: July 2010

Abstract:

Many new antimicrobial dressings have been used for the treatment of or protection against wound infection since the early 1980s. There are many different wound dressings such as silver, povidone iodine, and chlorhexidine impregnated materials on the market today. Various manufacturers assert that their dressings are the most effective and therefore should be preferentially employed. However, it is difficult to find a study that clearly identifies the most effective antimicrobial wound dressing.

The Use of a New Wound Alginogel for the Treatment of Partial-thickness Hand Burns

VOLUME: PUBLICATION DATE: Jun 01 2010
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Issue: 
6: June 2010

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.

Large Flap Preservation in a Patient With Extensive Necrotizing Fasciitis

VOLUME: PUBLICATION DATE: Jun 01 2010
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Issue: 
6: June 2010

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.

The Experience of a Geriatric Hospital at Home Service for Acutely Ill Elderly Patients With Pressure Ulcers

VOLUME: 22 PUBLICATION DATE: May 21 2010
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Issue: 
5:May 2010

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.

Current Microbiology of Surgical Site Infections Associated With Breast Cancer Surgery

VOLUME: 22 PUBLICATION DATE: May 21 2010
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Issue: 
5:May 2010

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.

Unusual Cheek and Upper Extremity Pressure Ulcers Resulting from Head-on-Hand and Arm Napping

VOLUME: 22 PUBLICATION DATE: May 21 2010
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Issue: 
5:May 2010

     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.



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