Advances in Skin & Wound Care最新文献

{"title":"Pyoderma Gangrenosum Improved with Dapsone and Prednisone: A Case Report.","authors":"Arbie Sofia P Merilleno, Charlene Marie Ang-Tiu","doi":"10.1097/ASW.0000000000000250","DOIUrl":"10.1097/ASW.0000000000000250","url":null,"abstract":"<p><strong>Abstract: </strong>Pyoderma gangrenosum is a rare ulcerative condition that poses diagnostic and therapeutic challenges. Diagnosis and appropriate management are often delayed due to its rarity and the presence of numerous clinical variants. In this case report, the authors present the case of a 36-year-old man who had long-standing and nonhealing ulcers that did not respond to multiple antibiotics and serial wound debridement. The patient was promptly initiated on oral corticosteroids and dapsone as an adjunctive steroid agent. After 6 months, the patient reported complete resolution of the lesions. This rare case underscores the potential value of combining prednisone and dapsone as a treatment option for pyoderma gangrenosum, particularly in resource-limited settings.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"165-167"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057699","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}

{"title":"Application of Negative-Pressure Wound Therapy in Patients with Wound Complications after Flap Repair for Vulvar Cancer: A Retrospective Study.","authors":"Liangzhi Qiu, Xianrong Wu, Xiu Wang","doi":"10.1097/ASW.0000000000000247","DOIUrl":"10.1097/ASW.0000000000000247","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the characteristics of postoperative wound complications (WCs) in patients following vulvectomy with flap repair and evaluate the efficacy of negative-pressure wound therapy (NPWT) in wound healing.</p><p><strong>Methods: </strong>This study retrospectively reviewed 17 patients with WCs following vulvectomy with flap repair at a tertiary comprehensive hospital from January 2016 to December 2022. All patients were treated with NPWT, and the wound healing rate, healing time, and NPWT-related complications were observed.</p><p><strong>Results: </strong>The most common WCs were seroma and lymphorrhea (52.94%; nine cases), followed by wound infection (35.29%, six cases), fat liquefaction (23.53%, four cases), wound dehiscence (17.65%, three cases), and wound ischemia (5.88%, one case). The main locations for flap WCs were the vulva (64.71%), thigh (35.29%), and pubic symphysis (23.53%). One patient halted treatment; the remaining 16 patients all achieved complete healing with a mean healing time of 43.50 ± 17.92 days. One complication was associated with the use of NPWT: procedural pain (17.65%, three cases).</p><p><strong>Conclusions: </strong>The use of NPWT may contribute to accelerated wound healing after flap repair in vulvar cancer and is safe for clinical application.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"142-147"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11939101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spectrum of Dermatoses and Infections Affecting the Lower Leg and Foot in an Outpatient Clinic at a Tertiary Care Hospital.","authors":"Shanta Passi, Deepika Uikey, Manoj Kumar","doi":"10.1097/ASW.0000000000000262","DOIUrl":"10.1097/ASW.0000000000000262","url":null,"abstract":"<p><strong>Background: </strong>Infections and dermatoses of the lower leg and foot can be attributed to factors such as blood stagnation, chemical contact, and abnormal mechanics. These factors make the lower leg and foot more susceptible to microbial infections, contact dermatitis, stasis eczema, ulcers, corns, and calluses.</p><p><strong>Objective: </strong>To identify the patterns of infections and dermatoses on the lower leg and foot.</p><p><strong>Methods: </strong>This study took place between September 2020 and August 2021 at an outpatient dermatology clinic. All patients with lower leg and foot skin conditions were included in the study, irrespective of age, sex, or occupation. Patients with generalized lesions all over the body were excluded.</p><p><strong>Results: </strong>Of the 42,527 patients who presented to the outpatient dermatology clinic during the study period, 424 patients (1%) had lower leg and foot skin conditions. The ratio of male to female patients was 2.3:1. Patients ranged in age from 4 to 76 (mean, 44.8 ± 15) years. A total of 152 patients had infections, and 272 patients had dermatoses. Fungal infection (21.7%) was most common among patients with infections, followed by bacterial (8.25%) and viral infections (7.07%). Lichen simplex chronicus (29.3%) and dermatoses due to venous stasis (19%) were most common among patients with dermatoses. The most commonly involved site was the shin, followed by the dorsum and sole of the foot.</p><p><strong>Conclusions: </strong>The identification of high-risk patients is key in taking preventive measures to avoid complications.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"148-152"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057703","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}

{"title":"Risk Prediction Model of Peristomal Skin Complications Among Patients with Colorectal Cancer and an Ostomy: A Cross-sectional Study in Shanghai, China.","authors":"Li-Li Ma, Ya-Juan Zhang, Hui-Ren Zhuang, Hui Jiang","doi":"10.1097/ASW.0000000000000245","DOIUrl":"10.1097/ASW.0000000000000245","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the risk factors for peristomal skin complications (PSCs) in patients with colorectal cancer and an ostomy, construct a prediction model, and verify its effectiveness.</p><p><strong>Methods: </strong>In this cross-sectional study, researchers recruited 265 patients with an ostomy at the stoma clinic of a tertiary hospital, from May 2022 to August 2023. Patients were divided into two groups: complications group (n = 81) and no complications group (n = 184). Researchers constructed a logistic regression prediction model using univariate and multivariate analyses. From May 2023 to August 2023, a validation group of 135 patients with an ostomy was selected for external validation of the model.</p><p><strong>Results: </strong>The incidence of PSCs was 30.57% in the modeling group and 30.37% in the validation group. The predictor variables were preoperative and postoperative health education, tumor therapy within 3 months, preoperative stoma positioning, stoma height, stoma type, and excrement state. The Hosmer-Lemeshow test yielded a P value of .513, the area under the receiver operating characteristic curve was 0.872, the Youden index was 0.561, and the sensitivity and specificity were 0.827 and 0.734. For external validation, the Hosmer-Lemeshow test yielded a P value of .835, the area under the receiver operating characteristic curve was 0.887, and the sensitivity and specificity were 0.905 and 0.720, respectively.</p><p><strong>Conclusions: </strong>The prediction model demonstrates good predictive efficacy and can serve as a reference for clinical caregivers in identifying patients at high risk of PSCs.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"133-141"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057701","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}

{"title":"Conservative Reconstruction of the Lower Limb with a Bilayer Porous Collagen Matrix after a Spider Bite.","authors":"Marco Palmesano, Davide Johan Bottini, Gabriele Storti, Lorenzo Secondi, Carlo Cossi, Alessio Calicchia, Martina Giacalone, Irene Nunziata, Emanuela Basile, Valerio Cervelli","doi":"10.1097/ASW.0000000000000254","DOIUrl":"10.1097/ASW.0000000000000254","url":null,"abstract":"<p><strong>Abstract: </strong>Brown recluse spider bites may cause symptoms ranging from local cutaneous reactions to systemic visceral loxoscelism. Most bites are self-limiting, but some can lead to necrotic ulcerations with severe complications and soft tissue defects. Necrotizing ulcers are uncommon and have various clinical presentations, so no standard treatment exists. A 68-year-old man required medical attention after getting a spider bite while traveling in Tanzania. After returning to Italy, the patient presented with a posterior lower limb black papule, local edema, and fever. The lesion quickly ulcerated with an eschar. Medical history and symptoms suggested a brown recluse spider bite. Ulcer management was conservative, with careful surgical debridement and a two-step reconstruction using a split-thickness skin graft and a bilayer porous collagen matrix. Treatment resulted in functional recovery and acceptable aesthetics.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"161-164"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057730","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}

{"title":"Scoping Review of Wounds in Hospitalized Adults with COVID-19 over the First 3 Years of the Pandemic.","authors":"Jennifer Bart, Cristina Phillips, Meghan Bailey, Elizabeth C Dunn, Margaret Ansell, Magali R De Carvalho, Debra E Lyon","doi":"10.1097/ASW.0000000000000188","DOIUrl":"10.1097/ASW.0000000000000188","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize the literature on skin failure and pressure injuries (PIs) among hospitalized patients with COVID-19.</p><p><strong>Data sources: </strong>An electronic literature search using relevant keywords and controlled vocabulary was conducted in March 2023 on MEDLINE/PubMed, EMBASE, and CINAHL. Manual citation searches of included articles and gray literature, including the Wound, Ostomy, and Continence Nurses Society website were performed. Articles published in English between 2020 and April 2023 were considered.</p><p><strong>Study selection: </strong>Articles were included if they reported on hospitalized adults who were COVID-19 positive with wounds that were not present upon admission. A total of 31 articles met these criteria.</p><p><strong>Data extraction: </strong>Covidence was used to extract article data, including publication information; study aims and design; participant characteristics; wound characteristics, location, and diagnosis; care setting; clinical outcomes; and clinical and research implications.</p><p><strong>Data synthesis: </strong>Of the 31 studies, 27 reported new onset skin lesions during hospitalization. Wounds were classified as PIs, skin failure, livedo racemosea, and/or, retiform purpura, and were associated with microvascular thrombosisthrombotic vasculopathy. Most PIs were associated with prone positioning, and affected patients often had multiple comorbidities including hypertension, diabetes mellitus, end-stage renal disease, heart disease, and chronic obstructive pulmonary disorder. Four articles highlighted an increased risk of new onset wounds, and three emphasized the importance of distinguishing deep tissue PIs from ischemic-related lesions in patients with COVID-19.</p><p><strong>Conclusions: </strong>The evidence suggests an increased risk of ischemic lesions and PIs in patients with COVID-19 infection. This phenomenon may have inflated the numbers of PIs reported during the pandemic and adversely affected nursing quality measures in acute care environments.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330206","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}

{"title":"Evaluation of Oncology/Hematology Nurses' Proficiency in Assessing Lower-Extremity Skin and Edema in Patients with Cancer: An Observational Study.","authors":"Zeliha Genç, Ayda Kebapci, Dilek Yildirim, Gulbeyaz Can, Orhan Zeytun, Elif Kök","doi":"10.1097/ASW.0000000000000248","DOIUrl":"10.1097/ASW.0000000000000248","url":null,"abstract":"<p><strong>Objective: </strong>To assess the competency of oncology/hematology nurses in evaluating the lower extremities of patients with cancer for skin conditions and edema.</p><p><strong>Methods: </strong>This prospective and descriptive observational study was conducted with patients in a university hospital's 48-bed oncology/hematology service. Patients with cancer admitted to the oncology/hematology service were examined independently by three evaluators (two nurse researchers and the patient's primary nurse) daily. Interrater reliability for assessing patients' right and left legs was determined using Fleiss κ statistics for categorical variables.</p><p><strong>Results: </strong>The study revealed a high degree of agreement among the three evaluators in the assessment of skin surface, skin color, and presence of petechiae and rashes on the right and left leg, as well as itching on the left leg. However, only moderate agreement was found for temperature assessment, ecchymoses edema on the left and right leg, and itching on the right leg. The reliability of the two researcher nurses' assessment of edema on the right and left legs was excellent.</p><p><strong>Conclusions: </strong>Although the agreement between the two researcher nurses was near excellent, only moderate agreement was observed among all evaluators in the edema assessment. The result underscores the importance of healthcare providers' knowledge and enhancing clinical skills through innovative training strategies.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"153-159"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057695","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}

{"title":"Cutaneous Psoriasis: Clinical Aspects and Treatments.","authors":"Ryan S Q Geng, R Gary Sibbald","doi":"10.1097/ASW.0000000000000243","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000243","url":null,"abstract":"<p><strong>General purpose: </strong>To present the clinical manifestations of cutaneous psoriasis and apply evidence-supported pharmacologic and treatment strategies to promote disease remission and symptom relief.</p><p><strong>Target audience: </strong>This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.</p><p><strong>Learning objectives/outcomes: </strong>After participating in this educational activity, the participant will: 1. Recognize the clinical manifestations of cutaneous psoriasis. 2. Explain diagnostic approaches to assess for cutaneous psoriasis. 3. Identify evidence-based management pharmacologic and nonpharmacologic options for the treatment of cutaneous psoriasis.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707959","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}

{"title":"Comparison of Effectiveness of Chinese Association of Operating Room Nurses-Based Nursing Care and Routine Nursing in Reducing Intraoperative Pressure Injury in Patients Undergoing Neurosurgery.","authors":"Miaomiao Jiang, Jianshu Cai, Luping Li, Xiaoling Huang","doi":"10.1097/ASW.0000000000000285","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000285","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effectiveness of Chinese Association of Operating Room Nurses (CORN)-based nursing care against that of routine nursing for reducing intraoperative pressure injury (PI) in patients undergoing neurosurgery.</p><p><strong>Methods: </strong>Convenience sampling was used to select patients who received neurosurgery between March 1, 2022, and June 30, 2022, at a grade A hospital in Zhejiang Province, China, as the study participants (N = 100). Participants were divided into a control group (n = 50) and an observation group (n = 50). The control group received routine intraoperative nursing care for PIs based on the nursing team's clinical experience and judgment. For the observation group, the CORN scale was applied to conduct comprehensive evaluation and implement nursing interventions.</p><p><strong>Results: </strong>The incidence of intraoperative PI was significantly lower in the observation group than in the control group. Further, PIs were more likely to occur among patients who underwent neurosurgery in the prone position.</p><p><strong>Conclusions: </strong>Compared with routine intraoperative nursing, CORN-based nursing care can effectively reduce the incidence of intraoperative PI among patients undergoing neurosurgery and improve nursing quality. The findings indicate that CORN-based nursing care has potential value in clinical application.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708008","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}

{"title":"Evaluation of Intensive Care Nurses' Skin Tear Knowledge.","authors":"Betül İlbey Koç, Dilay Hacıdursunoğlu Erbaş, Fatma Eti Aslan","doi":"10.1097/ASW.0000000000000288","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000288","url":null,"abstract":"<p><strong>Objective: </strong>To assess the skin tear knowledge of intensive care nurses who care for surgical patients.</p><p><strong>Methods: </strong>This study was conducted among intensive care nurses working in a training and research hospital and caring for surgical patients. Data were collected face-to-face using the Demographic Data Collection Form and the Skin Tear Knowledge Assessment Instrument.</p><p><strong>Results: </strong>Participants were primarily women (66.7%), and most (71.3%) had a bachelor's degree. The mean age of the participants was 30.01 ± 2.49 years, and the mean years of intensive care experience was 6.29 ± 2.76 years. No significant relationships were found between the scale scores of the participants and age, sex, education status, or whether they had received training on skin tears. There was a statistically significant positive correlation between years of intensive care experience and experience caring for patients with skin tears and OASES (Skin Tear Knowledge Assessment Instrument) total scale score. The analysis revealed that years of intensive care experience had a significant positive effect on the scale total score.</p><p><strong>Conclusions: </strong>This study revealed that nurses had a moderate level of knowledge about skin tears and that intensive care experience and status of caring for patients with skin tears were important factors influencing skin tear knowledge.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673020","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}