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Surgical debridement

Antibiotics are appropriate for pancreatic necrosis, which can be infected initially or be susceptible to a secondary infection.21 Selected intravenous antibiotic regimens are shown in Table 20-2. If necrosis is confirmed, antibiotics are insufficient as sole therapy surgical debridement is necessary for cure. [Pg.340]

Brain abscesses are localized collections of pus within the cranium. These infections are difficult to treat due to the presence of walled-off infections in the brain tissue that are hard for some antibiotics to reach. In addition to appropriate antimicrobial therapy (a discussion of which is beyond the scope of this chapter), surgical debridement is often required as an adjunctive measure. Surgical debridement also may be required in the management of neurosurgical postoperative infections. [Pg.1044]

Immediate surgical debridement and intravenous broad-spectrum antibiotics are key to reducing the mortality associated with necrotizing fasciitis. [Pg.1075]

The nonpharmacologic treatment of diabetic foot ulcers may include off-loading, chemical or surgical debridement of necrotic tissue, wound dressings, hyperbaric oxygen, vascular or orthopedic surgery, and the use of human skin equivalents.30... [Pg.1083]

Pressure relief, adequate nutrition (high-protein diet), and surgical debridement or abscess drainage are the mainstays of nonpharmacologic treatment.38... [Pg.1085]

Early and aggressive surgical debridement of all necrotic tissue is essential. [Pg.524]

Management of bite wounds consists of aggressive irrigation and topical wound dressing, surgical debridement, and immobilization of the affected area. Primary closure for human bites is not generally recommended. Tetanus toxoid and antitoxin may be indicated. [Pg.533]

In general, INH, pyrazinamide, ethionamide, and cycloserine penetrate the cerebrospinal fluid readily. Patients with CNS TB are often treated for longer periods (9 to 12 months). Extrapulmonary TB of the soft tissues can be treated with conventional regimens. TB of the bone is typically treated for 9 months, occasionally with surgical debridement. [Pg.554]

In necrotising soft tissue infections surgical debridement is the mainstay of therapy. There is not much evidence in support of topical application of antibiotics in irrigation fiuids topical antibiotics are reported to cause allergic contact dermatitis in up to 5-20%. Irrigations with acetic acid can reduce colonisation of wounds with Pseudomonas sp. [Pg.540]

Therapy of fungal arthritis consists of amphotericin B in combination with surgical debridement. Azole antifungal agents including itraconazole, fluconazole, voriconazole, and posaconazole, are promising in the therapy of fungal arthritis. [Pg.671]

The patient described in the case study underwent extensive surgical debridement, and fungal culture of intraoperative specimens were positive for Rhizopus sp, one of the agents of mucormycosis. The patient was subsequently treated with a prolonged course of therapy with liposomal amphotericin and caspofungin and subsequent chronic suppressive therapy with posaconazole. [Pg.1066]

Early surgical debridement or keratectomy of all but the most superficial ulcers will improve the therapeutic outcome significantly (Grahn et al 1993). Other surgical options may be considered depending upon the clinical progress of the lesion (Brooks 1999). In particular, posterior lamellar keratoplasty is likely to markedly improve the clinical outcome of deep mycotic abscesses (Andrew et al 2000). [Pg.232]

If possible, deep intraoperative samples should be obtained during surgical debridement. [Pg.1987]

Results of a Gram stain should be used to confirm the appropriateness of therapy. If signs and symptoms are not reduced within 24 hours, then surgical debridment may be needed. [Pg.1992]

TB of the bone typically is treated for 9 months, occasionally with surgical debridement. ... [Pg.2024]

If a patient with hematogenous osteomyelitis does not respond by having a decrease in fever, local swelling, redness, and pain following the initiation of adequate antibiotic therapy, the patient should undergo surgical debridement of the infected area. It is important to emphasize the priority of starting antibiotics immediately after the cultures have been obtained. No treatment failures have been reported when injectable antibiotics were started within 48 hours of the onset of symptoms in children with osteomyelitis. [Pg.2124]

A third case of intramuscular ricin injection involved a 53 year-old male who injected part of 13 chewed castor beans into his thigh with suicidal intent (Passeron et al., 2004). He developed necrotic cellulitis complicated by Enterococcus faecalis infection requiring emergency surgical debridement, but recovered after three months hospitalization. [Pg.619]


See other pages where Surgical debridement is mentioned: [Pg.143]    [Pg.340]    [Pg.1037]    [Pg.1078]    [Pg.1081]    [Pg.1111]    [Pg.1222]    [Pg.1227]    [Pg.1229]    [Pg.209]    [Pg.529]    [Pg.550]    [Pg.332]    [Pg.396]    [Pg.69]    [Pg.940]    [Pg.229]    [Pg.243]    [Pg.1977]    [Pg.1985]    [Pg.1985]    [Pg.1986]    [Pg.1993]    [Pg.2123]    [Pg.2124]    [Pg.2124]    [Pg.2125]    [Pg.2126]    [Pg.2127]    [Pg.2128]   
See also in sourсe #XX -- [ Pg.193 ]

See also in sourсe #XX -- [ Pg.193 ]




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