By Joseph E. Grey, Keith G. Harding
This fresh identify within the ABC sequence seems on the therapy and administration of wounds and therapeutic strategy - it is the excellent reduction for college kids, nursing employees, health facility medical professionals and GPs.
Covers the overview, prognosis and administration of all wounds - from demanding to continual. Giving functional recommendation on dressings and units utilized in the administration of wounds.
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Additional resources for ABC of Wound Healing
Conversely, use of a highly absorptive dressing on a dry wound may lead to disruption of healthy tissue on the wound surface and cause pain when removed. Allergic reactions are not uncommon: the dressing should be avoided, and the allergy may need to be treated with potent topical steroids. Tapes used to keep dressings in place are common causes of allergy. Many dressings require secondary dressings—for example, padding on highly exuding wounds—which may make them bulky. Secondary dressings should not be too tight, especially on patients with peripheral vascular disease.
Staphylococci and streptococci are the most commonly encountered pathogenic organisms in community acquired superficial wounds. More unusual organisms may be found in bite wounds, and these reflect the source of the bite. Pathogenic organisms causing surgical wound infections vary according to the anatomical site of surgery. Antibiotic resistant organisms, such as methicillin resistant Staphylococcus aureus (MRSA), are more commonly encountered, reflecting the hospital flora. When to sample It is inappropriate to swab all wounds: swabs should be taken only from overtly infected wounds and from wounds that are deteriorating, increasing in size, or failing to make satisfactory progress despite an optimal environment for wound healing.
The initial outpatient-physician encounter in group A streptococcal necrotizing fasciitis. Clin Infect Dis 2000;31:607-8. Pressure sore associated with MRSA osteomyelitis. Bone is visible at the base of the ulcer The figure showing the spectrum of interaction between bacteria and host was supplied by J E Grey and Stuart Enoch. Brendan Healy is specialist registrar in infection diseases and microbiology, and Andrew Freedman is honorary consultant in infectious diseases at University Hospital of Wales, Cardiff.
ABC of Wound Healing by Joseph E. Grey, Keith G. Harding