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Infections that occur in the wound created by an invasive surgical procedure are generally referred to as surgical site infections (SSIs). SSIs are one of the most important causes of healthcare-associated infections (HCAIs). A prevalence survey undertaken in 2006 suggested that approximately 8% of patients in hospital in the UK have an HCAI. SSIs accounted for 14% of these infections and nearly 5% of patients who had undergone a surgical procedure were found to have developed an SSI. However, prevalence studies tend to underestimate SSI because many of these infections occur after the patient has been discharged from hospital. SSIs are associated with considerable morbidity and it has been reported that over one-third of postoperative deaths are related, at least in part, to SSI. However, it is important to recognise that SSIs can range from a relatively trivial wound discharge with no other complications to a life-threatening condition. Other clinical outcomes of SSIs include poor scars that are cosmetically unacceptable, such as those that are spreading, hypertrophic or keloid, persistent pain and itching, restriction of movement, particularly when over joints, and a significant impact on emotional wellbeing. SSI can double the length of time a patient stays in hospital and thereby increase the costs of health care. Additional costs attributable to SSI of between £814 and £6626 have been reported depending on the type of surgery and the severity of the infection. The main additional costs are related to re-operation, extra nursing care and interventions, and drug treatment costs. The indirect costs, due to loss of productivity, patient dissatisfaction and litigation, and reduced quality of life, have been studied less extensively.
This book presents a comprehensive overview of recent clinical techniques and findings regarding wounds in burns, infections of wounds, and wound management in general. With the help of numerous high-quality illustrations, the first part of the book describes various approaches to treating patients with burn wounds. In turn, the second part focuses on infections of wounds. Here, the chapter authors summarize the most recent treatment options for wound infection in both children and adults. The third and last part addresses wound management in general, rounding out the content. Given the breadth of its coverage, the book offers a valuable resource for beginners and experienced plastic surgeons alike.
Complications in Small Animal Surgery provides a complete reference to diagnosing, managing, and treating surgical complications, with information following a standardized format for ease of use. • Presents comprehensive information on diagnosing, managing, and preventing surgical complications using an accessible format • Offers a well-defined, thoroughly illustrated format to maximize practical value, with algorithms, tables, practical tips, and many images throughout • Covers common and uncommon complications in all body systems • Serves as a reference to recent literature relevant to each complication • Includes access to a companion website with videos, figures from the book available for download into PowerPoint, and linked references at www.wiley.com/go/griffon/complications
The latest research on techniques for effective healing of chronic and difficult to heal wounds The healing of chronic wounds is a global medical concern, specifically for patients suffering from obesity and type II diabetes. Therapeutic Dressing and Wound Healing Applications is an essential text for research labs, industry professionals, and general clinical practitioners that want to make the shift towards advanced therapeutic dressing and groundbreaking wound application for better healing. This book takes a clinical and scientific approach to wound healing, and includes recent case studies to highlight key points and areas of improvement. It is divided into two key sections that include insight into the biochemical basis of wounds, as well as techniques and recent advancements. Chapters include information on: ● Debridement and disinfection properties of wound dressing ● Biofilms, silver nanoparticles, and honey dressings ● Clinical perspectives for treating diabetic wounds ● Treating mixed infections ● Wound healing and tissue regeneration treatments ● Gene based therapy, 3D bioprinting and freeze-dried wafers Anyone looking to update and improve the treatment of chronic wounds for patients will find the latest pertinent information in Therapeutic Dressing and Wound Healing Applications.
A major objective of this open access book is to summarize the current status of Buruli Ulcer (BU) research for the first time. It will identify gaps in our knowledge, stimulate research and support control of the disease by providing insight into approaches for surveillance, diagnosis, and treatment of Buruli Ulcer. Book chapters will cover the history, epidemiology diagnosis, treatment and disease burden of BU and provide insight into the microbiology, genomics, transmission and virulence of Mycobacterium ulcerans.
Rev. ed. of: Acute and chronic wounds / [edited by] Ruth A. Bryant, Denise P. Nix. 3rd ed. c2007.
Covers the key areas and the science of microbiology from a point of view relevant to a range of practitioners working in wound care who wish to enhance their skills at a postgraduate level.
Outstanding scientific advances over the last decades unceasingly reveal real complexity of wound-healing process, astonishing in its staged progression, as life is unfolding itself. This natural course of tissue repair seems to bear thousands of overlapping molecular and macroscopic processes that nowadays only start to unfold to our knowledge. The present volume collecting recent scientific references proposes to readers a two-folded audacious goal. First, an updated design of intimate cellular mechanisms is entailed in tissue regeneration that emanates from the first section of the book. Next, a multidisciplinary therapeutic perspective that focuses on macroscopic healing throughout the second part of this work adds clinically integrated observation. Practical diagnostic and treatment information is appended in each chapter that may equally help experienced clinicians or dedicated students and researchers in broadening essential breaking points of their work. It is the wish of all multidisciplinary experts who gather prominent author's panel of this volume to incorporate latest medical reports and compel limits of current understanding for better tissue regeneration, limb salvage, and improved quality of life of our patients.
ABC of Wound Healing, Second Edition ABC of Wound Healing is a practical, highly illustrated guide to assessment, diagnosis and management of all common types of acute and chronic wounds. This concise yet comprehensive reference covers all essential aspects of wound healing care, including epidemiology, pathophysiology, assessment, treatment, long-term management, and prevention This revised second edition contains several new chapters on lymphoedema, nutrition, skin care, continence, and scarring. Updated and expanded chapters cover a wider range of devices and therapies, and discuss additional factors that impact wound healing processes, offering new clinical photographs as a visual guide. Applying a multidisciplinary approach to the provision of wound care, ABC of Wound Healing: Covers common wounds including traumatic wounds, surgical wounds, diabetic foot ulcers, pressure injuries, and venous and arterial leg ulcers Emphasises the importance of reaching a diagnosis, the fundamental step in managing any wound Provides up-to-date information on physical, chemical, biological and emerging therapies for patients with various types of wounds Contains hundreds of full-colour illustrations and clinical photographs of wounds and treatments ABC of Wound Healing, Second Edition, remains a must-have guide for junior doctors, specialist registrars in medicine and surgery, specialist nurses, general practitioners and medical students.