Chronic wounds and bacteria. Clinical relevance, detection and therapy

Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete
Joachim Dissemond

Abstract

The importance of bacteria in the treatment of patients with chronic wounds has been a focus of attention in recent years. A bacteriological swab taken from the wound in a Essen rotary technique is usually adequate for the diagnosis. The current detection rate of bacteria in patients with chronic leg ulcers in Germany is about 50 % for Staphylococcus aureus, 30 % for Pseudomonas aeruginosa and Enterobacteriaceae and approximately 10 % for MRSA. Most of these patients have a clinically unimportant bacterial colonization, so that systemic administration of antibiotics usually is not required. For wound cleansing only sterile solutions such as Ringer's or physiological saline solution should be used. If tap water is used, then the use of sterile filters is strongly recommended. In patients with increased risk of infection, a critical colonization or local signs of infection, modern wound antiseptics using polyhexanide or octenidine are available. The use of systemic antibiotics should be strictly limited to patients with systemic signs of infections.

References

Dec 1, 2005·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·M LehnenJ Dissemond
Jan 25, 2007·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Charlotte E DaviesDavid W Thomas
Mar 9, 2007·Contact Dermatitis·Axel SchnuchIan R Jowsey
Feb 21, 2009·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Trevis CalowHauke Schumann
Mar 20, 2010·Journal of the European Academy of Dermatology and Venereology : JEADV·A KörberJ Dissemond
May 18, 2010·Journal of the American Academy of Dermatology·Marissa J CarterRobert A Warriner
Jun 16, 2010·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·S Reich-SchupkeM Stücker
Nov 10, 2011·International Wound Journal·Kristine GjødsbølKaren A Krogfelt
Feb 22, 2012·Scandinavian Journal of Infectious Diseases·Jasper N JacobsenKaren A Krogfelt

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Citations

Feb 28, 2015·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Andreas Schwarzkopf, Joachim Dissemond
Oct 8, 2014·Revista española de geriatría y gerontología·Jorge Ortiz BalbuenaAntonio Ramos Martínez
Aug 12, 2016·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Cornelia Sigrid Lissi MüllerClaudia Pföhler
Aug 12, 2016·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Cornelia Sigrid Lissi MüllerClaudia Pföhler
Aug 7, 2018·International Wound Journal·Wibke L EngelbergStefanie Reich-Schupke
Aug 30, 2017·Journal of Medical Engineering & Technology·Koichi FukudaHidetaka Yokoe
Jul 8, 2020·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Shingo NakamuraHidetaka Yokoe
Jun 23, 2020·Bio-medical Materials and Engineering·Tomohiro TakayamaHidetaka Yokoe
Jun 18, 2020·International Journal of Molecular Sciences·Tomohiro TakayamaHidetaka Yokoe

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