Advances in Skin & Wound Care最新文献_第10页

A Catheter Securement Strategy for Patients with Epidermolysis Bullosa. 牛皮癣患者的导管固定策略

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 DOI: 10.1097/ASW.0000000000000216

Kim M Strupp, Amy J Lee, Melissa Brooks Peterson, Norah Janosy

引用次数: 0

Use of Commercial Bacon to Extract Maggots from an Infested Chronic Wound. 使用商业培根从慢性伤口中提取蛆虫

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-10-01 DOI: 10.1097/ASW.0000000000000209

Gregory Fenati, Santana Youssoffi, Shriya Vejendla, Cameron C Neeki, Vinh T Nguyen, Fanglong Dong, Michael M Neeki

引用次数: 0

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-09-01 DOI: 10.1097/ASW.0000000000000194

Ann Marie Nie, Elizabeth Hawkins-Walsh, Barbara Delmore

{"title":"Risk Factors Related to the Development of Full-thickness Pressure Injuries in Hospitalized Pediatric Patients.","authors":"Ann Marie Nie, Elizabeth Hawkins-Walsh, Barbara Delmore","doi":"10.1097/ASW.0000000000000194","DOIUrl":"10.1097/ASW.0000000000000194","url":null,"abstract":"Background: Current pediatric pressure injury (PI) prevention measures are based on risk factors related to PI development in adults. Children offer a unique concern for PI development because their bodies are still developing, and their skin responds differently to external pressure.Objective: To explore risk factors for the development of full-thickness PIs in children aged 21 weeks' gestation to 21 years.Methods: This retrospective, observational, correlational study included 799 hospitalized children who developed a PI. The pediatric and adult PI risk factors used in the study were identified from the International Pressure Ulcer Prevention and Treatment Guideline. A stepwise multivariate logistic regression model was used.Results: Multivariate analyses revealed that risk factors for predicting a full-thickness PI varied by age. For children aged 38 weeks to 12 months, risk factors included tissue perfusion and oxygenation: generalized edema, conditions of the OR, and nutrition deficits. For children aged 1 to 7 years, fragile skin status was a risk factor. For youth aged 8 to 21 years, the two risk factors were tissue perfusion and oxygenation: decreased oxygenation and extracorporeal membrane oxygenation. Across the total sample, extracorporeal membrane oxygenation, tissue perfusion and oxygenation: decreased oxygenation and malnutrition were risk factors for predicting a full-thickness PI.Conclusions: Full-thickness PI risk factors differ among the ages of pediatric patients.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 9","pages":"480-488"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003353","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

Improving Wound Healing and Infection Control in Long-term Care with Bacterial Fluorescence Imaging. 利用细菌荧光成像技术改善长期护理中的伤口愈合和感染控制。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-09-01 Epub Date: 2024-07-17 DOI: 10.1097/ASW.0000000000000177

Martha R Kelso, Mark Jaros

{"title":"Improving Wound Healing and Infection Control in Long-term Care with Bacterial Fluorescence Imaging.","authors":"Martha R Kelso, Mark Jaros","doi":"10.1097/ASW.0000000000000177","DOIUrl":"10.1097/ASW.0000000000000177","url":null,"abstract":"Background: High bacterial burden stalls wound healing and can quickly progress to infection and sepsis in complex, older-adult patients in long-term care (LTC) or skilled nursing facilities (SNFs).Objective: To investigate the outcomes of point-of-care fluorescence (FL) imaging (MolecuLight i:X) of bacterial loads, which are frequently asymptomatic, to inform customized wound treatment plans for patients in LTC/SNFs.Methods: In this retrospective pre/postinterventional cohort study, the authors compared the healing and infection-associated outcomes of 167 pressure injuries from 100 Medicare beneficiaries before and after implementation of FL imaging.Results: Most patient demographics and wound characteristics did not differ significantly between the standard-of-care (SOC; n = 71 wounds) and FL (n = 96 wounds) cohorts. Significantly more wounds (+71.0%) healed by 12 weeks in the FL cohort (38.5%) versus the SoC cohort (22.5%). Wounds in the FL cohort also healed 27.7% faster (-4.8 weeks), on average, and were 1.4 times more likely to heal per Kaplan-Meier survival analysis (hazard ratio = 1.40; 95% CI, 0.90-2.12). Infection-related complications decreased by 75.3% in the FL cohort, and a significant shift from largely systemic to topical antibiotic prescribing was evidenced.Conclusions: Fluorescence-imaging-guided management of wounds significantly improved healing and infection outcomes in highly complex and multimorbid patients in LTC/SNFs. Proactive bacterial infection management via local treatments was enabled by earlier, objective detection. These reported outcome improvements are comparable to randomized controlled trials and cohort studies from less compromised, selectively controlled outpatient populations. Fluorescence imaging supports proactive monitoring and management of planktonic and biofilm-encased bacteria, improving patient care in a complex, real-world setting.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"471-479"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141632413","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 Itch: An Update. 伤口瘙痒：最新进展。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-09-01 DOI: 10.1097/ASW.0000000000000200

Julia C Paul

引用次数: 0

Observation of the Therapeutic Effect of Hydrogel Combined with Alginate Dressings for a Patient with Grade 4 Acute Radiation Dermatitis: A Case Report. 观察水凝胶联合藻酸盐敷料对 4 级急性放射性皮炎患者的治疗效果：病例报告。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-09-01 DOI: 10.1097/ASW.0000000000000198

Yongli Cao, Changhui Zhu, Hongyu Zhu, Xiumei Chen, Huiyu Luo

{"title":"Observation of the Therapeutic Effect of Hydrogel Combined with Alginate Dressings for a Patient with Grade 4 Acute Radiation Dermatitis: A Case Report.","authors":"Yongli Cao, Changhui Zhu, Hongyu Zhu, Xiumei Chen, Huiyu Luo","doi":"10.1097/ASW.0000000000000198","DOIUrl":"10.1097/ASW.0000000000000198","url":null,"abstract":"Abstract: In this case report, the authors summarize their experience of using hydrogel combined with alginate dressings in the wound care of a patient with grade 4 acute radiation dermatitis. With the combination of hydrogel and alginate dressings, the authors achieved autolytic debridement of the wound and created a moist healing environment to facilitate wound closure. Hydrogel helps the dressing adhere better to the wound bed, ensuring that it does not easily detach during the wound healing process. It also eliminates the need for traditional adhesive tapes for fixation, thus avoiding damage to the fragile skin in the radiation field.The wound gradually decreased in size from an area of 10 × 12 cm, and exudate decreased continuously. The wound completely healed in 20 days with a total of 17 dressing changes. As the wound gradually healed, the patient's psychological burden decreased and comfort level increased. The patient expressed satisfaction and hope for the gradual healing of the wound.Thus, the treatment of severe acute radiation dermatitis with hydrogel combined with alginate dressings yields remarkable results, aligning the noninvasive, low-adhesive, absorbent, conformable, and comfortable attributes of optimized wound care. This experience provides a practical foundation for wound management in acute radiation dermatitis and supports clinical application and promotion of the approach.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 9","pages":"1-5"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003352","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

Development of Postsurgical Pyoderma Gangrenosum with New Keloid after Keloid Resection. 瘢痕疙瘩切除术后出现伴有新瘢痕疙瘩的手术后脓疱疮

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-09-01 DOI: 10.1097/ASW.0000000000000197

Yusaku Saijo, Hiroaki Kuwahara, Keigo Ito, Rei Ogawa, Satoshi Akaishi

{"title":"Development of Postsurgical Pyoderma Gangrenosum with New Keloid after Keloid Resection.","authors":"Yusaku Saijo, Hiroaki Kuwahara, Keigo Ito, Rei Ogawa, Satoshi Akaishi","doi":"10.1097/ASW.0000000000000197","DOIUrl":"10.1097/ASW.0000000000000197","url":null,"abstract":"Abstract: Keloids are a dermal fibroproliferative disorder and can arise from trauma, acne, vaccination, and herpes zoster. Pyoderma gangrenosum (PG) is a painful ulcerative skin disorder that is associated with neutrophilic dysfunction. However, the pathophysiologies of keloids and PG are not fully understood. The authors encountered an unusual case of a 24-year-old woman who presented with an anterior chest keloid that bore an ulcer. The keloid was resected along with the ulcer, and histology revealed the ulcer to be a neutrophilic PG ulcer. A year after surgery, another ulcer developed in the scar. The ulcer met the PARACELSUS criteria of a postsurgical PG ulcer. After treatment with systemic prednisone and adalimumab for 250 days, the ulcer re-epithelialized. However, relapsed keloids were then observed at the PG site. Corticosteroid taping may be the safest therapy for patients with a history of PG. Conversely, if there is suspicion that a patient is prone to keloid development, diagnostic biopsies and surgical management of PG ulcers should be avoided or conducted with care.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 9","pages":"499-502"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003346","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

Efficacy of Hypothermic Compression Bandages in Cardiac Device Surgical Wounds: A Randomized Controlled Trial. 低温加压绷带对心脏设备手术伤口的疗效：随机对照试验

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-09-01 DOI: 10.1097/ASW.0000000000000201

Alba Cano Valls, Mireia Niebla, Clara Diago, Rebeca Domingo, Jose Maria Tolosana, Sílvia Pérez

{"title":"Efficacy of Hypothermic Compression Bandages in Cardiac Device Surgical Wounds: A Randomized Controlled Trial.","authors":"Alba Cano Valls, Mireia Niebla, Clara Diago, Rebeca Domingo, Jose Maria Tolosana, Sílvia Pérez","doi":"10.1097/ASW.0000000000000201","DOIUrl":"10.1097/ASW.0000000000000201","url":null,"abstract":"Background: Pocket hematoma is the most prevalent complication with cardiac implantable electronic devices (CIEDs), especially in patients who are undergoing oral anticoagulation and/or antiplatelet therapy.Objective: To evaluate the efficacy of hypothermic compression bandaging versus conventional compression bandaging for the prevention of surgical wound hematoma of CIEDs in patients who are undergoing chronic anticoagulant drug use and/or antiplatelet therapy.Methods: This was a single-center randomized prospective study. The intervention group received a hypothermic compression bandage, and the control group received a conventional compression bandage. The primary endpoint was the appearance of hematoma 10 days after the intervention.Results: A total of 310 patients participated in the study. The mean age of the participants was 73.77 ± 10.68 years, and 74.8% were men. In the intervention group, 5.88% (n = 18) of patients developed ecchymosis, and 1.3% (n = 4) developed mild hematoma. In the control group, 5.88% (n = 18) of patients developed ecchymosis, and 2.9% (n = 9) developed mild hematoma. No patient in either group had a severe hematoma. No significant differences were observed between the two types of dressing in any of the three degrees of hematoma.Conclusions: This study demonstrated that compression bandaging with or without hypothermic therapy effectively prevents pocket hematoma of CIEDs in patients at high risk of bleeding.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 9","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003347","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

Heterogeneous Outcome Selection and Incomplete Prespecification of Outcomes in Systematic Reviews: A Case Study on Pressure Injury. 系统性综述中的异质结果选择和不完整的结果预设：压力损伤案例研究。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-09-01 DOI: 10.1097/ASW.0000000000000196

Jun Zhang, Mingyue Zhang, Caihua Xu, Jinhui Tian, Donghua Yang, Bo Wang

{"title":"Heterogeneous Outcome Selection and Incomplete Prespecification of Outcomes in Systematic Reviews: A Case Study on Pressure Injury.","authors":"Jun Zhang, Mingyue Zhang, Caihua Xu, Jinhui Tian, Donghua Yang, Bo Wang","doi":"10.1097/ASW.0000000000000196","DOIUrl":"10.1097/ASW.0000000000000196","url":null,"abstract":"Objective: To understand how reviewers select and prespecify outcomes for systematic reviews (SRs), the authors report on the outcomes used in SRs of pressure injury (PI) intervention and treatment and evaluate their completeness of prespecification.Data sources: The authors searched four electronic databases for SRs involving PI prevention and/or treatments.Study selection: Inclusion criteria were SRs and meta-analyses evaluating interventions for preventing or treating PI. Studies without systematic search or risk-of-bias assessment, conference proceedings, and articles not in Chinese or English were excluded.Data extraction: Two reviewers extracted and categorized the outcomes in domains, assessing outcome prespecification using a five-element framework. Data items included study characteristics, target population, type of interventions, and outcome variables.Data synthesis: This review included 95 SRs that reported a total of 432 instances of 24 different outcome domains. An average of four outcome domains were reported per SR. The most frequently reported domains were PI healing, PI occurrence, and PI status. Of the 62 SRs that prespecified primary outcomes, 40 (64.52%) reported more than one primary outcome. Only 24 of the 432 instances (5.56%) were completely specified. Among the 24 outcome domains, 12 (50.00%) were listed as primary outcomes at least once. Primary outcomes were more completely specified than nonprimary outcomes.Conclusions: Systematic reviews of PI prevention and/or treatment report diverse, incompletely prespecified outcomes, highlighting the need for a core outcome set to standardize key clinical outcomes.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 9","pages":"490-498"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003350","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

Nursing Research on Pressure Injury Prevention: Bibliometric Analysis. 预防压伤的护理研究：文献计量分析。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2024-09-01 DOI: 10.1097/ASW.0000000000000203

Arzu Aslan Basli

{"title":"Nursing Research on Pressure Injury Prevention: Bibliometric Analysis.","authors":"Arzu Aslan Basli","doi":"10.1097/ASW.0000000000000203","DOIUrl":"10.1097/ASW.0000000000000203","url":null,"abstract":"Objective: To review research on pressure injury (PI) prevention published between 2018 and 2023 using bibliometric analysis methods to identify trends in the field over the past 5 years.Methods: The author queried the Web of Science database using the keywords \"pressure injury or pressure ulcer and prevention\" to access the bibliometric data of relevant studies. The program RStudio version 4.2.1 and the utility package Biblioshiny were used for data analysis.Results: A total of 1,110 English-language studies that focused on PI prevention were analyzed, including articles, reviews, proceeding papers, and early access articles. Articles were published by 114 sources. The average publication age was 2.57 years, and the average number of citations per publication was 5.88. The average number of authors per publication was 4.63, with an international coauthorship rate of 19.46%. The most cited articles were prevalence and incidence studies, systematic reviews, and meta-analyses. An examination of journals with research related to PI prevention highlighted the Journal of Tissue Viability and Advances in Skin & Wound Care as prominent journals.Conclusions: Researchers and clinical nurses working in the field of PI prevention should research the identified trending topics (eg, COVID-19, intensive care, and classification) and aim to publish in journals with a high number of citations or substantive contributions in this area.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"37 9","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003351","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