Ulcers decubitus

Reacetylated chitin gels were used to treat leg and decubitus ulcers in paraplegic subjects [309]. Selected preparative conditions permitted to obtain a self-sustaining gel useful for this use. The treatment periods were 63-182 days and complete healing was obtained. 

Reposition patient as appropriate to prevent decubitus ulcer formation... 

The mean survival time of persons with AD is reported to be approximately 6 years from the onset of symptoms until death. However, age at diagnosis, severity of AD, and other medical conditions affect survival time.8 Although AD does not directly cause death, it is associated with an increase in various risk factors which often contribute to death such as senility, sepsis, stroke, pneumonia, dehydration, and decubitus ulcers. 

Decubitus ulcer (e.g. bed sores, pressure sores) Ulcer due to continuous pressure exerted on a particular area of skin. Often associated with bed-ridden patients... 

A pressure sore is also called a decubitus ulcer and bed sore. A classification system for pressure sores is presented in Table 47-5. Many factors are thought to predispose patients to the formation of pressure ulcers paralysis, paresis, immobilization, malnutrition, anemia, infection, and advanced age. Four factors thought to be most critical to their formation are pressure, shearing forces, friction, and moisture however, there is still debate as to the exact pathophysiology of pressure sore formation. The areas of highest pressure are generated over the bony prominences. 

Complicated skin and skin structure infections (SSSIs) For the treatment of complicated SSSIs caused by S. aureus (methicillin-susceptible and -resistant strains). Streptococcus pyogenes, or Streptococcus agalactiae. It has not been studied in the treatment of diabetic foot and decubitus ulcers. 

For debridement of necrotic tissue and liquefication of slough in acute and chronic lesions such as pressure ulcers, varicose, diabetic, and decubitus ulcers, burns, postoperative wounds, pilonidal cyst wounds, carbuncles, and miscellaneous traumatic or infected wounds. Also stimulates vascular bed activity to improve epithelization. 

Decubitus ulcer (e.g. bed sores, pressure sores) Diabetic ulcers Varicose ulcers Rodent ulcers Peptic ulcers Ulcer due to continuous pressure exerted on a particular area of skin often associated with bed-ridden patients Ulcers (e.g. diabetic leg ) caused by complications of diabetes Due to defective circulation, sometimes associated with varicose veins An ulcerous cancer (basal cell carcinoma), usually affecting the face Ulcer of the digestive tract, caused by digestion of the mucosa by acid and pepsin may occur in e.g. the duodenum (duodenal ulcer), or the stomach (gastric ulcer)... 

Unlabeled Uses Treatment of bacterial vaginosis, grade 111-lV decubitus ulcers with anaerobic infection, Flelicobacler pytori-associated gastritis and duodenal ulcer, inflammatory bowel disease topical treatment of acne rosacea... 

Topical sucralfate (4-10%) is also useful in management of decubitus ulcer, diabetic ulcers, chemical and thermal burns, radiation induced skin damage, vaginal ulceration, oral and genital ulceration. 

Mupirocin is indicated for topical treatment of minor skin infections, such as impetigo (see Chapter 61). Topical application over large infected areas, such as decubitus ulcers or open surgical wounds, has been identified as an important factor... 

Decubitus ulcers and pressure sores can be covered with a vapor permeable film. The films resistance to shear and low frictional surface properties protect the dermal layers from additional physical abrasion while producing the minimal barrier to normal skin function which allows them to be used as a prophylactic in areas that are traumatized by pressure but not ulcerated. 

Supportive care may include hydration, enteral tube or parenteral nutrition, nasogastric suctioning for ileus, bowel and bladder care, prevention and treatment of decubitus ulcers, prevention and treatment of deep venous thromboses, intensive care, mechanical ventilation, treatment of secondary infections, and monitoring for impending respiratory failure (36,38). 

Postoperative wound infection Posttrauma wound infection Diabetic foot Decubitus ulcer Bone and joint infections... 

The terms decubitus ulcer, bed sore, and pressure sore are used interchangeably. The decubitus ulcer and the bed sore are types of pressure sores. The term decubitus ulcer is derived from the Latin word decum-bere, meaning lying down. Pressure sores, however, can develop regardless of a patient s position. 

Thin, shiny, or scaling skin Decubitus ulcers... 

Yucel VE, Basmajian JV. Decubitus ulcers healing effect of an enzymatic spray. Arch. Phys. Med. Rehabil., 1974 55(11) 517-519. 

Decubitus ulcers acne rosacea perioral dermatitis... 

Long-term treatment with PVP-I, even at a relatively low dose, can result in thyroid dysfunction. Out of 27 patients in whom PVP-I was applied on the tracheotomy site, the gastrostomy site, the external urethral meatus, or an ulcerated skin for 3-133 months (mean standard deviation 48.0 33.2), subclinical hypothyroidism was seen in 3 patients, mild hyperthyroidism was seen in 1 patient, and subclinical hyperthyroidism was suspected in 7 patients (Nobukuni et al., 1997). Sato et al. (2007) reported two cases of hypothyroidism induced by prolonged habitual gargling with PVP-I for 4 and 10 years, respectively. Shetty and Duthie (1990) and Valayer-Chaleat et al. (1998) reported cases of hyperthyroidism in patients who received topical application of PVP-I for 6 months to treat decubitus ulcers. 

CS Bryan, CE Dew, KL Reynolds. Bacteremia associated with decubitus ulcers. Arch Intern Med 143 2093-2095, 1983. 

Becaplermin Rh-platelet-derived growth factor (Regranex) 25 - - Topical gel (negligible) Decubitus ulcer ... 

Pressure Ulcers (Decubitus Ulcers) Almost all paraplegics suffer from decubitus ulcers. However, all but one patient at the author s FES program (at Michel Reese Hospital, Chicago), had no occurrence of a new ulcer while regularly using FES. Improved blood circulation at below the lesion is most likely the cause for this [27]. The exception was due to a cut from a sharp object. 

In-hospital deaths per 1000 patients in DRGs with < 0.5% mortality. Excludes trauma, immunocompromised and cancer patients Cases of decubitus ulcer per 1000 discharges with a length of stay of 5 or more days. Excludes patients with paralysis or in MDC 9, MDC 14, and patients admitted from a long-term care facility... 

This patient safety indicator is concerned with decubitus ulcer and is expressed by... 

DUI = the decubitus ulcer indicator, ttg = the number of pressure ulcers. 

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