By Joseph E. Grey, Keith G. Harding
This fresh identify within the ABC sequence appears to be like on the therapy and administration of wounds and therapeutic strategy - it is the excellent relief for college kids, nursing employees, clinic medical professionals and GPs.
Covers the evaluation, prognosis and administration of all wounds - from hectic to persistent. Giving sensible recommendation on dressings and units utilized in the administration of wounds.
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Additional resources for ABC of Wound Healing (ABC Series)
Semiquantitative analysis introduces a bias towards motile and fast growing organisms. com on 12 January 2009 Practice Fastidious organisms such as anaerobes may be under-represented. Semiquantitative counts have been shown to correlate with quantitative tissue counts in both burn wounds and diabetic foot ulcers. Superficial wound swabs are not always representative of the pathogenic organisms invading deeper tissue Microbiological analysis Type of analysis Gram stain Quantitative culture Semiquantitative culture Suitable samples Advantages Disadvantages Tissue, pus, or swab transported immediately to laboratory Tissue, pus, dermabrasion specimens, absorbent pad specimens Instant results; good correlation with quantitative counts Counts > 105 organisms or colony forming units per gram of tissue predict wound infection Practical; can be carried out on swab specimens; some correlation with quantitative analysis Poor sensitivity; no antibiotic sensitivity pattern All specimens Quantitative analysis Bacterial load greater than 100 000 organisms or colony forming units per gram of tissue or mm3 of pus is a predictor of wound infection.
Medicated bandages provide no compression. Intermittent pneumatic compression Intermittent pneumatic compression is effective in treating longstanding venous leg ulcers associated with severe oedema that are refractory to conventional compression therapy alone. Intermittent pneumatic compression provides compression (range 20-120 mm Hg) at preset intervals (average 70 seconds) through an electrically inflatable “boot” of variable lengths. It is generally used two hours a day for up to six weeks.
Invasive; labour intensive; costly Imprecise; bias towards motile/fast growing organisms; sampling of superficial colonising bacteria Severity of clinical sig Contamination Colonisation Critical colonisation ns Local infection Systemic infection Contamination: Presence of non-replicating micro-organisms in wound – these are rapidly cleared by host defences Colonisation: Presence of replicating organisms adherent to wound bed without causing cellular damage to host Critical colonisation: Increasing bacterial burden.