pressure sore
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2022 ◽  
Vol 40 (1) ◽  
pp. 52-56
Author(s):  
Md Shahidur Rahman

The global outbreak of COVID 19 has created an unprecedented challenge to the society. America, Europe and India were catastrophic sufferers from this virus next to China. They had highest number of daily morbidity and mortality in the global context. Bangladesh is facing terrible experiences of dealing with this pandemic and making a tremendous turmoil in health and economic sector. Our healthcare system is overburdened with critically ill patients. Disability arising out of neurological, pulmonary, neuromuscular, and cognitive complications, need to be addressed by rehabilitation professionals. Many patients presenting with COVID-19 will have no specific airway clearance needs.There have been no reports of COVID-19 positive patients having high secretion loads that would require intensive chest physiotherapy or postural drainage. In Bangladesh in ICU settings physiatrist or physiotherapists are not directly involve in respiratory care management. In mild to moderate cases advice about a post-acute care breathing exercises, other musculoskeletal exercises, bed positioning and pressure sore care are helpful. In Bangladesh medical care facilities are not adequate in corona care hospitals especially in peripheral medical college or hospital. Many patients are dying of shortage in oxygen supplies and lack of availability of ICU. Post discharged plans of comprehensive rehabilitation are grossly neglected in discharged certificate. Our national guidelines on corona management do not have any instructions on rehabilitation management at any point. The objectives of this fast review article on corona pandemic are to highlight the global scenario and our limitations in the rehabilitation management of COVID 19 patients particularly post discharged patients and patients with long COVID complications. J Bangladesh Coll Phys Surg 2022; 40: 52-56


Antibiotics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 22
Author(s):  
Hwei Lin Teh ◽  
Sarimah Abdullah ◽  
Anis Kausar Ghazali ◽  
Rahela Ambaras Khan ◽  
Anitha Ramadas ◽  
...  

Background: More data are needed about the safety of antibiotic de-escalation in specific clinical situations as a strategy to reduce exposure to broad-spectrum antibiotics. This study aims to compare the survival curve of patient de-escalated (early or late) against those not de-escalated on antibiotics, to determine the association of patient related, clinical related, and pressure sore/device related characteristics on all-cause 30-day mortality and determine the impact of early and late antibiotic de-escalation on 30-day all-cause mortality. Methods: This is a retrospective cohort study on patients in medical ward Hospital Kuala Lumpur, admitted between January 2016 and June 2019. A Kaplan–Meier survival curve and Fleming–Harrington test were used to compare the overall survival rates between early, late, and those not de-escalated on antibiotics while multivariable Cox proportional hazards regression was used to determine prognostic factors associated with mortality and the impact of de-escalation on 30-day all-cause mortality. Results: Overall mortality rates were not significantly different when patients were not de-escalated on extended or restricted antibiotics, compared to those de-escalated early or later (p = 0.760). Variables associated with 30-day all-cause mortality were a Sequential Organ Function Assessment (SOFA) score on the day of antimicrobial stewardship (AMS) intervention and Charlson’s comorbidity score (CCS). After controlling for confounders, early and late antibiotics were not associated with an increased risk of mortality. Conclusion: The results of this study reinforce that restricted or extended antibiotic de-escalation in patients does not significantly affect 30-day all-cause mortality compared to continuation with extended and restricted antibiotics.


2021 ◽  
Author(s):  
Chun-I Fang ◽  
Tseng-Tzu Wu ◽  
Chen-Yi Chu ◽  
Yen-Chiao Lu

The record of the pressure sore with photo needs to be measurable. We compare the time consumption of wound assessment ruler and measure application of smartphone and the satisfaction of the users. The time needed is 20 and 35 seconds for the ruler and the application on average. But the satisfaction is better for application for its convenience, less infection, and the accuracy of measurements.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Alexandra M. Anker ◽  
Marc Ruewe ◽  
Lukas Prantl ◽  
Sebastian Geis ◽  
Andreas Kehrer ◽  
...  

Author(s):  
Priyanka Pathak ◽  
Nabajani Dutta

Background: Pressure sores are injuries to skin and underlying tissues caused by prolong pressure. Talc and olive oil is a product with potential preventive effect to prevent bedsore because of its numerous medical properties. Objective: To estimate the effect of talc versus olive oil back massage on prevention of pressure sore among bedridden patients. Material and method: A quantitative research approach with factorial experimental design was used in this study. 50 patients were selected using convenient sampling technique and who fulfill the inclusion criteria of the study. Data was collected using self-administered questionnaires for demographic variables, Braden Scale for risk of pressure sore assessment and standard protocol on steps of back massage. Data was analyzed using descriptive and inferential statistics. Results: The comparison of effect of back massage with talc versus olive oil on prevention of pressure sore among Group I and Group II bedridden patients reveals that post-test mean score in Group I was 13.88±2.682 and posttest mean score in group II was 16.44±2.694 with mean difference of 2.56 which was tested by using unpaired t test with calculated value (t=3.367, df=48, p=0.002) was found to be statistically significant. As the mean is higher in group II (olive oil) than Group I (talc) hence it is considered that olive oil is more effective in preventing pressure sore than talc. Conclusion: The study concluded that the back massage with talc and olive oil was effective in prevention of pressure sore among bedridden patients.


2021 ◽  
Vol 148 (6) ◽  
pp. 1026e-1039e
Author(s):  
Christie Bialowas ◽  
Brittany Nguyen ◽  
Ashit Patel
Keyword(s):  

2021 ◽  
Vol 17 (3) ◽  
pp. 218-221
Author(s):  
Minseo Kim ◽  
Sungmi Jeon ◽  
Sang Wha Kim

Pressure sores are common but troublesome for both patients and clinicians. They can range from mild to severe and must be managed accordingly. Despite advancements in both non-surgical and surgical intervention, no standard treatment protocol has yet been established. Since pressure sores can occur in a variety of clinical settings, treatment must be individualized to the patient’s circumstances. Recently, acellular dermal matrix (ADM) has been utilized as an alternative treatment for non-healing wounds. In the present report, we describe the case of a non-ambulatory patient in whom a large pressure sore located near the anus was completely cured using CG paste, an injectable ADM.


Author(s):  
Li Zhang ◽  
Miaomiao He ◽  
Lingdong Chen ◽  
Pinghua Xu ◽  
Jiaohui Bao ◽  
...  

2021 ◽  
Vol 11 (19) ◽  
pp. 8974
Author(s):  
Ofir Rosner ◽  
Eran Zenziper ◽  
Hadas Heller ◽  
Joseph Nissan ◽  
Guy Melamed ◽  
...  

Little is reported about the prosthetic aftercare of implant-supported mandibular overdentures regarding the number of implants placed. The purpose of this study was to evaluate the prosthetic aftercare among edentulous patients restored with two vs. four mandibular implant-retained overdentures (MISOD). Forty-six consecutive edentulous patients treated by a new MISOD were retrospectively studied. Twenty-five patients had two-ball attachment MISOD (Group A), and 21 had four-ball attachment MISOD (Group B). The total amount of aftercare visits was recorded, as well as the type of treatments required (pressure sore spots relief, attachment liner replacement due to loss of retention, and metal ball attachment replacement due to wear). The mean follow-up duration was 93 ± 57 months (range 9–246 months). None of the implants was lost. There were significantly more visits for pressure sore spots relief in Group A vs. Group B (6.2 ± 2 in group A and 4.09 ± 1.54 in group B, p < 0.0001). Differences in the other two tested parameters (number of visits for liner replacement (2.3 ± 1.84 in group A and 2.4 ± 1.63 in group B) and attachment replacement (2.36 ± 1.85 in group A vs. 2.48 ± 1.63 in group B) yielded a non-significant outcome (p = 0.814 for liner replacement and p = 1.000 for attachment replacement). The use of four-ball attachments in MISOD was more beneficial than two-ball attachments with regards to the aftercare of pressure sore spots. The number of implants did not influence the mechanical wear.


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