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Daniela-Gabriela Badita

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Articole semnate de acelasi autor in Revista Romana de Boli Infectioase:

EXPERIENTA NOASTRA IN TRATAMENTUL INFECTIILOR ULCERELOR VENOASE

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Romanian Journal of Infectious Diseases | Vol. XIX, No. 4, Year 2016
ISSN 1454-3389  |  e-ISSN 2069-6051
ISSN-L 1454-3389
DOI: 10.37897/RJID

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EXPERIENTA NOASTRA IN TRATAMENTUL INFECTIILOR ULCERELOR VENOASE

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REZUMAT

Obiective. Plăgile cronice au o perioadă îndelungată de vindecare, care este influenţată de numeroşi factori, printre care şi infecţiile. Ulcerele venoase reprezintă 80% din ulceraţiile de la nivelul membrului inferior, având un impact major asupra calităţii vieţii pacientului. Scopul acestui studiu a fost de a evalua prezenţa bacteriilor şi de a institui un tratament corespunzător în ulcerele venoase.
Material şi metodă. Studiul a înrolat zece pacienţi cu ulcere venoase cronice prezenţi în secţia de Chirurgie plastică a Spitalului Clinic de Urgenţă „Prof. Dr. Agrippa Ionescu“ pe o perioadă de şase luni. Am evaluat cultura plăgilor şi am instituit un tratament corespunzător fiecărui caz în funcţie de antibiogramă.
Rezultate. Ulcerele venoase ale membrului inferior au avut o evoluţie favorabilă după administrarea tratamentului antibiotic şi eliminarea infecţiei. S-a realizat, de asemenea, şi debridarea chirurgicală şi acoperirea plăgii cu o grefă de piele.
Concluzii. Ulcerele venoase pot evolua pe o perioadă îndelungată (săptămâni sau chiar ani), fiind, de asemenea, asociate cu complicaţii severe precum celulită sau transformare malignă. Unul dintre principalii factori care împiedică vindecarea este infecţia, debridarea chirurgicală asociată cu administrarea sistemică de antibiotice având un rezultat favorabil în epitelizarea ulcerelor venoase..

Cuvinte cheie: plăgi cronice, ulcer venos, bacterii, antibiotic

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INFECTIONS MANAGEMENT IN VENOUS LEG ULCERS: A SINGLE CENTER EXPERIENCE

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Romanian Journal of Infectious Diseases | Vol. XIX, No. 4, Year 2016
ISSN 1454-3389  |  e-ISSN 2069-6051
ISSN-L 1454-3389
DOI: 10.37897/RJID

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Scopus
NLM Catalog
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

National Awards “Science and Research”

NEW! RJID has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

INFECTIONS MANAGEMENT IN VENOUS LEG ULCERS: A SINGLE CENTER EXPERIENCE

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ABSTRACT

Objectives. Chronic wounds have a prolonged period of healing due to numerous factors, including infections. Venous ulcers represent almost 80% of the lower extremity ulcerations, having a great impact on the
patient's quality of life. The objective of this study was to evaluate the presence of bacteria and the proper management in treating venous leg ulcers. Material and methods. The study enrolled ten patients with chronic venous leg ulcers hospitalized in the Plastic Surgery Department of the Emergency Clinical Hospital “Prof. Dr. Agrippa Ionescu”, during a period of six months. For each patient included in the study, we assessed the wounds culture and we started an antibiotic treatment, according to the antibiogram, which was completed by the surgical treatment of the wound. Outcomes. Venous leg ulcers had a favorable outcome after the administration of antibiotic therapy, surgical debridement of the wound and coverage with a skin graft. Conclusions. Venous ulcers may evolve over an extended period of time (weeks or years) and may also be associated with severe complications, such as cellulites or malignant transformation. Infections affect the healing process. Surgical debridement associated with systemic administration of antibiotics has a favorable outcome in the epithelialization of venous ulcers.

Keywords: chronic wound, venous leg ulcer, bacteria, antibiotic therapy

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