The journal of the American College of Certified Wound Specialists最新文献_第2页

Clostridium Tertium Isolated From a Necrotizing Soft Tissue Infection in a Diabetic but Otherwise Nonimmunocompromised Patient 从糖尿病患者的坏死性软组织感染中分离出的Tertium梭菌

The journal of the American College of Certified Wound Specialists Pub Date : 2011-06-01 DOI: 10.1016/j.jcws.2011.09.002

Elizabeth A. Steensma MD, Christian W. Ertl MD, FACS, FACCWS, Leandra H. Burke BS

{"title":"Clostridium Tertium Isolated From a Necrotizing Soft Tissue Infection in a Diabetic but Otherwise Nonimmunocompromised Patient","authors":"Elizabeth A. Steensma MD, Christian W. Ertl MD, FACS, FACCWS, Leandra H. Burke BS","doi":"10.1016/j.jcws.2011.09.002","DOIUrl":"10.1016/j.jcws.2011.09.002","url":null,"abstract":"<div><p><em>Clostridium tertium</em> has historically been regarded as nonpathogenic, and its implication as the primary microbe in infectious etiologies remains unclear. Although there have been several reports of <em>C tertium</em> isolated from blood, tissue, and other specimens, largely this population has consisted of patients with neutropenia, hematologic malignancies, or gastrointestinal disorders. Here we describe a case of a 39-year-old nonimmunocompromised man with a history of type 1 diabetes mellitus and intravenous drug use who presented to our institution with a necrotizing soft tissue infection involving his right upper extremity. The infection had developed after the patient had injected methamphetamines. At surgery, tissue was obtained for Gram stain and culture, yielding <em>C tertium</em>, after an initial misidentification as <em>Lactobacillus</em> species. After undergoing extensive surgical debridement and treatment with an appropriate antibiotic regimen, the patient was able to be discharged home with retained function of his extremity. Although not common, infections involving <em>C tertium</em> can produce severe, potentially life- and limb-threatening disease processes, which may require aggressive therapy even in the nonimmunocompromised patient.</p></div>","PeriodicalId":88735,"journal":{"name":"The journal of the American College of Certified Wound Specialists","volume":"3 2","pages":"Pages 42-44"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcws.2011.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32115680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Novel Wound Healing Powder Formulation for the Treatment of Venous Leg Ulcers 治疗腿部静脉性溃疡的新型伤口愈合粉配方

The journal of the American College of Certified Wound Specialists Pub Date : 2011-06-01 DOI: 10.1016/j.jcws.2011.09.004

Angela V. Ghatnekar PhD , Tuan Elstrom BS , Gautam S. Ghatnekar PhD , Teresa Kelechi PhD

引用次数: 7

Ace Your Certification Exam 通过认证考试

The journal of the American College of Certified Wound Specialists Pub Date : 2011-03-01 DOI: 10.1016/j.jcws.2011.05.001

Jayesh Shah MD, CWS, FACCWS, FAPWCA, UHM, FACHM

引用次数: 0

Letter from the Chair 主席的信

The journal of the American College of Certified Wound Specialists Pub Date : 2011-03-01 DOI: 10.1016/j.jcws.2011.05.004

Aimée D. Garcia MD, CWS, FACCWS

引用次数: 0

The Significance of Introducing Permanent Assignments for Nursing Assistants at a Long-Term Care Setting on the Incidence Rate of Facility-Acquired Pressure Ulcers Among Elderly Patients 在长期护理机构中引入护理助理的长期任务对老年患者设施获得性压疮发生率的意义

The journal of the American College of Certified Wound Specialists Pub Date : 2011-03-01 DOI: 10.1016/j.jcws.2011.03.002

Erlynda Mangaco-Borja MSN, DSD RNC

引用次数: 2

Silver Toxicity With the Use of Silver-Impregnated Dressing and Wound Vacuum-Assisted Closure in an Immunocompromised Patient 免疫功能低下患者使用银浸渍敷料和真空辅助缝合伤口的银毒性

The journal of the American College of Certified Wound Specialists Pub Date : 2011-03-01 DOI: 10.1016/j.jcws.2011.05.002

Cabrini A. LaRiviere MD, Adam B. Goldin MD, MPH, Jeffrey Avansino MD

{"title":"Silver Toxicity With the Use of Silver-Impregnated Dressing and Wound Vacuum-Assisted Closure in an Immunocompromised Patient","authors":"Cabrini A. LaRiviere MD, Adam B. Goldin MD, MPH, Jeffrey Avansino MD","doi":"10.1016/j.jcws.2011.05.002","DOIUrl":"10.1016/j.jcws.2011.05.002","url":null,"abstract":"<div><p>Silver-containing topical agents are used to help prevent infectious complications in wound therapy. Toxicity from topical silver agent exposure was initially reported in 1975 and was clinically characterized by granulocytopenia. Currently, the data regarding potential toxicity associated with silver-impregnated devices are limited. A 23-year-old patient receiving chemotherapy for acute lymphoblastic leukemia presented with necrotizing fasciitis of the abdominal wall and scrotum from a Crohn disease–related psoas-enteric fistula. Surgical debridement of the soft-tissue and abdominal musculature was performed to the peritoneum. Silver-containing foam sponges and wound vacuum-assisted closure were applied directly to the peritoneum 2 weeks after initial debridement. Subsequently, the patient developed leukopenia, and workup revealed the serum silver level was 4 times normal level. Silver-impregnated sponges were discontinued and silver-free sponges and wound vacuum-assisted closure therapy resumed, followed by leukopenia resolution. Silver toxicity associated with routine application of silver-impregnated sponges has not been previously reported.</p></div>","PeriodicalId":88735,"journal":{"name":"The journal of the American College of Certified Wound Specialists","volume":"3 1","pages":"Pages 8-12"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcws.2011.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32115732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Phase Angle, an Alternative Physiological Tool to Assess Wound Treatment in Chronic Nonhealing Wounds 相位角:评估慢性不愈合伤口治疗的另一种生理工具

The journal of the American College of Certified Wound Specialists Pub Date : 2011-03-01 DOI: 10.1016/j.jcws.2011.06.001

Michael F. Moore MD, FACS, CWS, FACCWS , Nanci Dobson RN, CWCA , Lisa Castelllino RN, CWCA , Susan Kapp BSN

{"title":"Phase Angle, an Alternative Physiological Tool to Assess Wound Treatment in Chronic Nonhealing Wounds","authors":"Michael F. Moore MD, FACS, CWS, FACCWS , Nanci Dobson RN, CWCA , Lisa Castelllino RN, CWCA , Susan Kapp BSN","doi":"10.1016/j.jcws.2011.06.001","DOIUrl":"10.1016/j.jcws.2011.06.001","url":null,"abstract":"<div><h3>Background</h3><p>This exploratory study was conducted in an effort to demonstrate that bioelectrical impedance analysis (BIA) phase angle measurement is a novel tool for monitoring the effectiveness of a wound care regimen at a regional level and is valuable in comparing that status with the overall metabolic health of the patient. Isolating and measuring the extent to which nutritional supplementation contributes to the healing process is difficult and confounded by the many treatment modalities patients undergo.</p></div><div><h3>Objective</h3><p>The authors conducted a limited exploratory study to determine whether regional phase angle measurements accurately reflected the status of chronic nonhealing wounds. This information would potentially provide the ability to quantitatively evaluate of the role of nutritional supplementation in wounds of varying etiologies by comparing regional BIA phase angle measurement with overall BIA phase angle measurement.</p></div><div><h3>Methods</h3><p>Eleven patients with wounds of varying etiologies were selected to participate. Each patient underwent a treatment regimen specific to his or her condition, and all patients were given JUVEN<sup>®</sup> nutritional supplement.</p></div><div><h3>Results and Conclusion</h3><p>In all patients, the BIA phase angle measurement mirrored the health of the wound and provided an accurate tool for assessing the regional tissue health, a valuable insight in measuring the effectiveness of a systemic treatment.</p></div>","PeriodicalId":88735,"journal":{"name":"The journal of the American College of Certified Wound Specialists","volume":"3 1","pages":"Pages 2-7"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcws.2011.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32115731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Efficiency of Microbial Cellulose Dressing in Partial-Thickness Burn Wounds 微生物纤维素敷料在部分厚度烧伤创面中的应用效果

The journal of the American College of Certified Wound Specialists Pub Date : 2011-03-01 DOI: 10.1016/j.jcws.2011.04.001

Pornprom Muangman MD, Supaporn Opasanon MD, Supaparn Suwanchot RN, Orapin Thangthed RN

引用次数: 59

Ace Your Certification Exam 通过认证考试

The journal of the American College of Certified Wound Specialists Pub Date : 2010-12-01 DOI: 10.1016/j.jcws.2011.02.004

Jayesh Shah MD, CWS, FACCWS, FAPWCA, UHM, FACHM

引用次数: 0

Off-Loading Practices for the Wounded Foot: Concepts and Choices 受伤脚的卸载练习:概念和选择

The journal of the American College of Certified Wound Specialists Pub Date : 2010-12-01 DOI: 10.1016/j.jcws.2011.02.001

Donald E. Mrdjenovich DPM, CWS, FACCWS

引用次数: 9