Advances in Skin & Wound Care最新文献

Therapeutic Indices of Topical Antiseptics in Wound Care: A Systematic Review. 伤口护理中外用杀菌剂的治疗指标：系统回顾

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-03 DOI: 10.1097/ASW.0000000000000233

Ryan S Q Geng, R Gary Sibbald, Jacqueline Slomovic, Olivia Toksarka, Gregory Schultz

{"title":"Therapeutic Indices of Topical Antiseptics in Wound Care: A Systematic Review.","authors":"Ryan S Q Geng, R Gary Sibbald, Jacqueline Slomovic, Olivia Toksarka, Gregory Schultz","doi":"10.1097/ASW.0000000000000233","DOIUrl":"10.1097/ASW.0000000000000233","url":null,"abstract":"Abstract: Chronic wounds place a heavy burden on healthcare systems and markedly reduce the ability of patients to engage in activities of daily living. One major factor contributing to impaired wound healing is bacterial bioburden. With the rise in antibiotic resistance and the slowdown in antibiotic development pipelines, alternative antimicrobial strategies are important. The objective of this systematic review is to determine the topical antiseptic therapeutic index values for bacterial species commonly isolated from chronic wounds. The therapeutic index is a ratio of the lowest concentration that causes mammalian cell cytotoxicity over the minimum bactericidal concentration. Higher values indicate greater safety and potential clinical benefit. A systematic literature search was performed in Medline and Embase, resulting in the inclusion of 37 articles that reported on the minimum bactericidal concentration in bacterial species commonly isolated from chronic wounds and their cytotoxicity concentrations in mammalian cells. The therapeutic indices for the topical antiseptics included in this study were generally low, with most ranging between 0.5-3.0. The highest therapeutic index values for Escherichia coli (5.49), Staphylococcus aureus (6.31) and Pseudomonas aeruginosa (8.81) were achieved by hypochlorous acid, whereas the highest therapeutic index values for methicillin resistant S aureus (12.1) was achieved by polyhexamethylenebiguanide. Antibiotic stewardship principles may need to be applied to topical antiseptics due to some isolated evidence of topical antiseptic resistance and cross-resistance to antibiotics. The choice of antiseptic should not be made solely based on therapeutic index values, but individualized to the patient, with consideration for the wound healing condition that may include covert infection.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142360938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Nutrition Therapy: Coding, Coverage, and Payment. 医学营养疗法：编码、覆盖范围和付款。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 DOI: 10.1097/ASW.0000000000000215

Kathleen D Schaum

引用次数: 0

The Links Between Longevity, Nutrition, Protein, and Calories. 长寿、营养、蛋白质和卡路里之间的联系。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 DOI: 10.1097/ASW.0000000000000217

引用次数: 0

Examining the Effect of Oral Health on Nutrition Status and Wound Healing. 研究口腔健康对营养状况和伤口愈合的影响。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 DOI: 10.1097/ASW.0000000000000212

Nancy Collins

引用次数: 0

Healing with Systematic Wound Management after Minimally Invasive Treatment of Axillary Osmidrosis. 微创治疗腋窝积液后，通过系统的伤口管理使伤口愈合。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 DOI: 10.1097/ASW.0000000000000213

Xiaogen Hu, Chengyuan Wang, Cheng Sun

{"title":"Healing with Systematic Wound Management after Minimally Invasive Treatment of Axillary Osmidrosis.","authors":"Xiaogen Hu, Chengyuan Wang, Cheng Sun","doi":"10.1097/ASW.0000000000000213","DOIUrl":"10.1097/ASW.0000000000000213","url":null,"abstract":"Abstract: Axillary osmidrosis (AO), the condition of armpit smell, can be treated with minimally invasive techniques. However, patients may experience wound complications and a relatively long recovery period after operation. In this case series, the researchers investigated the effectiveness of systematic wound management for wound healing after minimally invasive treatment of AO.From January 2016 to December 2021, 64 patients with AO underwent systematic wound management after minimally invasive treatment. Systematic wound management included three consecutive steps of wound irrigation with 0.9% sodium chloride, suction drainage, and compression dressing. The researchers retrospectively evaluated wound healing results and recorded complications. Of the patients, 60 (93.8%) had good primary wound healing results, 1 (1.5%) developed a hematoma, and 3 (4.7%) had partial epidermis necrosis. The hematoma was easily evacuated, and the partial epidermis necrosis recovered spontaneously without obvious scarring. No other adverse effects were observed.The results of this case series indicate that systematic wound management is reliable and practical and provides good wound healing results after minimally invasive treatment of AO.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 10","pages":"545-549"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142556891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wound Care at the Intersection of Race, Ethnicity, and Malnutrition. 种族、民族和营养不良交织的伤口护理。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 DOI: 10.1097/ASW.0000000000000211

Nancy Munoz, Mary Litchford

{"title":"Wound Care at the Intersection of Race, Ethnicity, and Malnutrition.","authors":"Nancy Munoz, Mary Litchford","doi":"10.1097/ASW.0000000000000211","DOIUrl":"10.1097/ASW.0000000000000211","url":null,"abstract":"Abstract: Ensuring adequate nutrition is vital for maintaining skin health and promoting successful wound healing. Globally, the rise in malnutrition and diet-related diseases is contributing to increased rates of illness and disability. Populations in food deserts and those experiencing food insecurity are particularly at risk. Being at risk for or having malnutrition associated with chronic conditions such as diabetes and cardiovascular disease can increase the incidence of wounds. Healthcare disparities and varied clinical outcomes among ethnic minorities further contribute to these challenges. Research indicates that racial and ethnic minorities experience a higher prevalence and severity of wounds, including pressure injuries. Detecting early-stage wounds in individuals with darker skin tones can be difficult, adding to the disparities.Culturally appropriate nutrition interventions are essential in addressing these health inequities because tailored approaches tend to be more effective than uniform strategies. Understanding diverse dietary patterns and incorporating cultural food preferences into care plans can improve patient adherence and outcomes. Promoting equity in wound care through culturally sensitive practices helps to foster respect, dignity, and trust within healthcare settings, particularly for minority populations.In this review, the authors highlight the need for inclusive interventions that provide culturally aligned nutrition, supporting patients' clinical and holistic well-being.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 10","pages":"536-543"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142556898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

High-Quality Dietary Protein: The Key to Healthy Granulation Tissue. 优质膳食蛋白质：健康肉芽组织的关键。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 DOI: 10.1097/ASW.0000000000000210

Andy S Chu, Barbara Delmore, Ernest S Chiu

引用次数: 0

Opportunities and Solutions: Unintentional Weight Loss. 机遇与解决方案：无意减肥。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 DOI: 10.1097/ASW.0000000000000208

Rebecca Guterman, Andy S Chu, Rebecca Hirsch, Judy Singer, Sarah Johnston, Katy Fung

引用次数: 0

Omega Fatty Acid-Based Therapy for Healing of Recalcitrant Wounds in Patients with Complex Comorbidities. 基于欧米茄脂肪酸的疗法可帮助患有复杂并发症的患者愈合顽固伤口。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 Epub Date: 2024-08-16 DOI: 10.1097/ASW.0000000000000207

Jacob Reinkraut, Adeen Khokhar, Sarah Abdou, Sonya Wali, Desmond Bell

{"title":"Omega Fatty Acid-Based Therapy for Healing of Recalcitrant Wounds in Patients with Complex Comorbidities.","authors":"Jacob Reinkraut, Adeen Khokhar, Sarah Abdou, Sonya Wali, Desmond Bell","doi":"10.1097/ASW.0000000000000207","DOIUrl":"10.1097/ASW.0000000000000207","url":null,"abstract":"Abstract: The human body possesses the unique ability to repair itself after injury through complex, sequential phases. Current development of advanced wound care therapies generally focuses on addressing a single aspect of this biological process that can result in delayed or ineffective wound healing. When patients present with further systemic and local confounding pathologies, it can result in painful, chronic wounds that are especially challenging to treat.In this case report, the authors demonstrate how treatment with a novel multimodal wound matrix expedited healing and decreased pain in two patients who had each been unresponsive to treatment with advanced modalities for more than 7 months. The first patient had factor V Leiden, and the second patient had sickle cell disease. Use of a once-weekly treatment protocol with the multimodal wound matrix, combined with sharp debridement when deemed clinically necessary, resulted in elimination of pain and expedited wound healing to closure. The wound matrix's omega fatty acid-based formulation is designed to target multiple factors common among hard-to-heal wounds that when not addressed can adversely inhibit the wound-healing cascade.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"550-554"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141992241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

High-Quality Dietary Protein: The Key to Healthy Granulation Tissue. 优质膳食蛋白质：健康肉芽组织的关键。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 DOI: 10.1097/ASW.0000000000000214

引用次数: 0