TREATMENT OF LARGE INFECTED CHEST WOUNDS

a 2012

TREATMENT OF LARGE INFECTED CHEST WOUNDS

VEVERKOVÁ, Lenka, Ivan ČAPOV, Václav JEDLIČKA, Jan ŽÁK, Petr VLČEK et. al.

Basic information

Original name

TREATMENT OF LARGE INFECTED CHEST WOUNDS

Authors

VEVERKOVÁ, Lenka (203 Czech Republic, guarantor, belonging to the institution), Ivan ČAPOV (203 Czech Republic, belonging to the institution), Václav JEDLIČKA (203 Czech Republic, belonging to the institution), Jan ŽÁK (203 Czech Republic, belonging to the institution), Petr VLČEK (203 Czech Republic, belonging to the institution), Adam PEŠTÁL (203 Czech Republic, belonging to the institution), Jan KALAČ (203 Czech Republic, belonging to the institution), Zdeněk WILHELM (203 Czech Republic, belonging to the institution) and Jan DOLEŽEL (203 Czech Republic, belonging to the institution)

Edition

4th Congres of the World Union of Wound Healing Societies, September 2-6,2012 PACIFICO YOKOHAMA, Yokohama Japan, 2012

Other information

Language

English

Type of outcome

Konferenční abstrakt

Field of Study

30200 3.2 Clinical medicine

Country of publisher

Japan

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/12:00060898

Organization unit

Faculty of Medicine

Keywords in English

Treatment infection chest wounds

Abstract

V originále

Introduction:In clinical practice we often need to decide a correct method for the treatment of the chest wall following trauma, empyema, or local infection. Various methods are available and their aim is the same – to cure the patient’s defect. There are recommended and tried methods of treatment of these serious and often life-threatening defects. Nowadays treatment may also involve NPWT. Method:In the period between June 2010 and January 2011 we researched 8 patients with chest defect after surgery who were treated using NPWT and compared their results with those of patients treated with traditional methods prior to 2010 e.g. Eloesser window in pleural empyema. We evaluated the length of treatment, wound size, onset of infection, pain and the price of treatment. We assessed wound size using the method of WHAT. Results:The patients’ average age was 65.7 years, in the range of 45 – 73 years. The average wound size 17 x 11.6 cm. Treatment with NWPT averaged 12 days, and changed every 4.5 days. All wounds were culture positive: 3 staphylococcus aureus,1 MRSA, 2 alpha hemolytic streptococcus, the others were polymicrobial. There were no mortalities. All wounds healed without muscle flaps, 3 underwent delayed primary closure, 2 split-thickness skin graft, and three healed by secondary intention. There was no significant complication. Conclusion: The NPWT system is a feasible alternative to conventional wound care with infected wounds. Our results show that NPWT is more benficial to the patient, it involves a shorter period of treatment

Citovat

VEVERKOVÁ, Lenka, Ivan ČAPOV, Václav JEDLIČKA, Jan ŽÁK, Petr VLČEK, Adam PEŠTÁL, Jan KALAČ, Zdeněk WILHELM and Jan DOLEŽEL. TREATMENT OF LARGE INFECTED CHEST WOUNDS. In 4th Congres of the World Union of Wound Healing Societies, September 2-6,2012 PACIFICO YOKOHAMA, Yokohama Japan. 2012.

@proceedings{991957,
   author = {Veverková, Lenka and Čapov, Ivan and Jedlička, Václav and Žák, Jan and Vlček, Petr and Peštál, Adam and Kalač, Jan and Wilhelm, Zdeněk and Doležel, Jan},
   booktitle = {4th Congres of the World Union of Wound Healing Societies, September 2-6,2012 PACIFICO YOKOHAMA, Yokohama Japan},
   keywords = {Treatment infection chest wounds},
   language = {eng},
   title = {TREATMENT OF LARGE INFECTED CHEST WOUNDS},
   year = {2012}
}

TY  - CONF
ID  - 991957
AU  - Veverková, Lenka - Čapov, Ivan - Jedlička, Václav - Žák, Jan - Vlček, Petr - Peštál, Adam - Kalač, Jan - Wilhelm, Zdeněk - Doležel, Jan
PY  - 2012
TI  - TREATMENT OF LARGE INFECTED CHEST WOUNDS
KW  - Treatment infection chest wounds
N2  - Introduction:In clinical practice we often need to decide a correct method for the treatment of the chest wall following trauma, empyema, or local infection. Various methods are available and their aim is the same – to cure the patient’s defect. There are recommended and tried methods of treatment of these serious and often life-threatening defects. Nowadays treatment may also involve NPWT. Method:In the period between June 2010 and January 2011 we researched 8 patients with chest defect after surgery who were treated using NPWT and compared their results with those of patients treated with traditional methods prior to 2010 e.g. Eloesser window in pleural empyema. We evaluated the length of treatment, wound size, onset of infection, pain and the price of treatment. We assessed wound size using the method of WHAT. Results:The patients’ average age was 65.7 years, in the range of 45 – 73 years. The average wound size 17 x 11.6 cm. Treatment with NWPT averaged 12 days, and changed every 4.5 days. All wounds were culture positive: 3 staphylococcus aureus,1 MRSA, 2 alpha hemolytic streptococcus, the others were polymicrobial. There were no mortalities. All wounds healed without muscle flaps, 3 underwent delayed primary closure, 2 split-thickness skin graft, and three healed by secondary intention. There was no significant complication. Conclusion: The NPWT system is a feasible alternative to conventional wound care with infected wounds. Our results show that NPWT is more benficial to the patient, it involves a shorter period of treatment
ER  -

VEVERKOVÁ, Lenka, Ivan ČAPOV, Václav JEDLIČKA, Jan ŽÁK, Petr VLČEK, Adam PEŠTÁL, Jan KALAČ, Zdeněk WILHELM and Jan DOLEŽEL. TREATMENT OF LARGE INFECTED CHEST WOUNDS. In \textit{4th Congres of the World Union of Wound Healing Societies, September 2-6,2012 PACIFICO YOKOHAMA, Yokohama Japan}. 2012.

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