Wound drainage

For most bacteria, use infection control guidelines standard precautions. If appropriate, or the identity of the bacteria is unknown, use additional droplet and airborne precautions. Avoid direct contact with wounds or wound drainage. 

Use infection control guidelines standard precautions. Avoid direct contact with wounds or wound drainage. 

Necrotic tissue must be thoroughly debrided, with wound drainage and amputation as required. 

Adverse reactions occurring in 3% or more of patients include anemia, bullous eruption, confusion, constipation, dizziness, edema, fever, headache, hypokalemia, hypotension, increased wound drainage, insomnia, major/minor bleeding, nausea, purpura, rash, urinary tract infection, vomiting. 

The goal of therapy is preservation of as much normal limb function as possible while preventing infectious complications. Most infections can be successfully treated on an outpatient basis with wound care and antibiotics. Necrotic tissue must be thoroughly debrided, with wound drainage and amputation as required. 

Health care workers who come in contact with patients in whom anthrax is suspected should use universal precautions at all times, including the use of rubber gloves, disposal of sharps, and frequent hand washing. No human-to-human transmission of anthrax has been reported and respiratory isolation precautions are not needed. Patients with inhalational or cutaneous anthrax should be placed on contact isolation, due to the potential for contact with open wounds or wound drainage. 

Wear a gown when entering the room if contact with patient is anticipated or if the patient has diarrhea, a colostomy, or wound drainage not covered by a dressing. 

Diclofenac can cause panmyelopathy (8). Data from the International Agranulocytosis and Aplastic Anemia Study showed an increased risk of aplastic anemia (multivariate rate-ratio 8.8) (9). Fatal aplastic anemia has also been described (SEDA-4, 69) (10), as have purpura and thrombocytopenia, although not always with certainty. Spontaneous bleeding (subcutaneous bruises, hematoma, greater wound drainage) has been associated with diclofenac (SEDA-15,100). 

Determine initial CBC, renal/hepatic function test results. Assess burned tissue for infection culture any wound drainage. Assess fluid status. 

Resistance to the antibiotic is another problem that can occur. Culture and sensitivity studies should be performed on all infections in order to determine which antibiotics will work for the microorganism that is causing the infection. The test can be performed on blood or wound drainage to identify the bacteria and help identify which antibiotic will be effective. 

Surgical tapes are intended to minimize necrosis, scar tissue formation, problems of stitch abscesses, and weakened tissues. The problems with surgical tapes are similar to those experienced with traditional skin tapes. These include (1) misaligned wound edges, (2) poor adhesion due to moisture or dirty wounds, and (3) late separation of tapes when hematoma or wound drainage occur. 

Use permitted in nasogastric tubing, wound drainage tubing and blood contact applications. 

TissuGlu (Cohera Medical, Pittsburgh, PA, USA) is a lysine-derived urethane adhesive which cures in the presence of moisture. This is applied to the abdominal wall prior to closure of the abdominoplasty flap to reduce wound drainage and seroma formation. The safety and efficacy of TissuGlu have been demonstrated in preclinical and clinical studies [53, 54]. 

In another example, antimicrobial silver ions are combined with a hydrogel. Silva-Sorb Silver Antimicrobial Wound Gel is an amorphous gel wound dressing for use in moist wound healing. Its SilvaSorb MicroLattice technology maintains an optimally moist wound environment by either absorbing wound drainage or donating moisture while it delivers antimicrobial ionic silver. SilvaSorb Silver Antimicrobial Wound Gel can act as an effective antimiCTobial barrier. 

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