{"title":"Antibiogram in the biopsy of chronic venous ulcers related to sudden changes in the pain profile.","authors":"J M Pereira De Godoy","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Chronic venous insufficiency (CVI) has an important impact on the public health system in particular due to the occurrence of chronic venous ulcers (UCV) and infections.</p><p><strong>Objective: </strong>To evaluate cultures of biopsies of chronic venous ulcers of patients who suffered an acute change in the intensity of pain of the lesion.</p><p><strong>Method: </strong>Antibiograms of the cultures of chronic venous ulcer biopsies of patients who suffered an acute change in the lesion with significant pain for 24 hours were evaluated. All patients were treated between 2011 and 2015 in the Vascular Surgery Outpatient Clinic of the Medical School in São José do Rio Preto. Other causes of pain such as chronic arterial insufficiency and problems with the dressings were ruled out.</p><p><strong>Results: </strong>Positive cultures were detected in 34 of the 35 patients whose pain was resolved by antibiotic therapy.</p><p><strong>Conclusion: </strong>Acute changes in the intensity of pain associated with chronic venous ulcers seem to be related to local infectious disease.</p>","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 2","pages":"149-152"},"PeriodicalIF":0.4000,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Giornale di Chirurgia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Chronic venous insufficiency (CVI) has an important impact on the public health system in particular due to the occurrence of chronic venous ulcers (UCV) and infections.
Objective: To evaluate cultures of biopsies of chronic venous ulcers of patients who suffered an acute change in the intensity of pain of the lesion.
Method: Antibiograms of the cultures of chronic venous ulcer biopsies of patients who suffered an acute change in the lesion with significant pain for 24 hours were evaluated. All patients were treated between 2011 and 2015 in the Vascular Surgery Outpatient Clinic of the Medical School in São José do Rio Preto. Other causes of pain such as chronic arterial insufficiency and problems with the dressings were ruled out.
Results: Positive cultures were detected in 34 of the 35 patients whose pain was resolved by antibiotic therapy.
Conclusion: Acute changes in the intensity of pain associated with chronic venous ulcers seem to be related to local infectious disease.
慢性静脉功能不全(CVI)对公共卫生系统有着重要的影响，特别是由于慢性静脉溃疡(UCV)和感染的发生。目的:评价慢性静脉溃疡患者急性疼痛强度变化的活检培养。方法:对慢性静脉溃疡病变急性改变伴明显疼痛患者进行24小时的慢性静脉溃疡活检培养物抗生素谱评价。所有患者于2011年至2015年期间在 o jos do Rio Preto医学院血管外科门诊接受治疗。其他原因的疼痛，如慢性动脉功能不全和敷料的问题被排除。结果:35例患者经抗生素治疗后疼痛缓解，其中34例培养阳性。结论:慢性静脉溃疡患者疼痛强度的急性变化可能与局部感染性疾病有关。
期刊介绍：
Il Giornale di Chirurgia pubblica contributi che propongono le diverse tecniche su patologia chirurgiche di attualità. Pubblica articoli originali, casistica clinica, metodi, tecniche, terapia farmacologica pre-operatoria e post-chirurgica, ed articoli inerenti la descrizione di tecniche chirurgiche.
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