Skin and Wound Care

Reddy, Madhuri

doi:10.1097/01.asw.0000323547.12358.b8

Cited by 31 publications

(3 citation statements)

References 58 publications

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“…Current literature 2 , 12 indicates that no one particular technique was superior or ideal. Especially for the elderly, 13 as they often suffer from basic diseases and have poor surgical tolerance. Although there are many treatment methods for skin defects of the foot, each method has its own advantages and disadvantages.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of foot and ankle defects using the vaccum sealing drainage versus the induced‐membrane the elderly: A retrospective comparative study

Zhou,

Zhang,

Gao

et al. 2023

International Wound Journal

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The purpose of this study was to compare the reconstructive outcomes of soft‐tissue defects around foot and ankle with vaccum sealing drainage (VSD) or induction membrane (IM) of cement formation and attempt to provide an optimal strategy for elderly patients. A retrospective review of all continuous patients with foot and ankle reconstruction using different flaps from October of 2016 and October of 2020 was performed. Based on the different way, the patients were divided into two groups: VSD group (n = 26) and IM group (n = 27). Outcomes were assessed according to the size of the defect, frequency of debridement procedures, hospitalization time, duration of healing, the healing rate, major amputation rate, functional outcomes and complications. Immunohistochemistry (IHC) detection of vascular endothelial growth factor (VEGF) was also be completed. We found that there was no difference in demographic characteristics, size of the defect, debridement times and functional outcomes between the two groups (p > 0.05); however, a significant difference in the wound healing time, hospitalization time and complications were noted between them(p < 0.05). The fresh granulation tissue of both groups showed abundant positive expression of VEGF. Thus, the VSD and IM are both available for foot and ankle reconstruction in elderly patients. However, the IM group offers short hospitalization time, duration of healing and lower frequency of postoperative complications. Thus, we advocate the IM for reconstruction of defects of the foot and ankle region in the elderly patients.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of foot and ankle defects using the vaccum sealing drainage versus the induced‐membrane the elderly: A retrospective comparative study

Zhou,

Zhang,

Gao

et al. 2023

International Wound Journal

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“…Kebiasaan mandi mempengaruhi hidrasi kulit pada usia lanjut. Tidak ada rekomendasi khusus mengenai mandi pada usia lanjut, walaupun dengan mandi setiap harinya selama 10 menit atau mandi sekali hingga dua kali seminggu dapat dipakai menjadi acuan (Reddy, 2008). Penggunaan sabun pembersih kulit harus diperhatikan, sabun dengan pH normal dianjurkan untuk menghindari terkikisnya lemak pelindung pada kulit secara berlebihan (Davies, 2008).…”

Section: Peran Hidrasi Kulit Pada Orang Usia Lanjutunclassified

Peran Hidrasi Kulit Dan Perbaikan Sawar Kulit Pada Xerosis Dan Pruritus Di Usia Lanjut

Wijayadi,

Wardoyo

2022

JMMPK

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Pendahuluan: Proses penuaan kulit menyebabkan perubahan kulit pada usia lanjut. Terjadi penurunan kadar hidrasi dan perubahan sawar kulit yang akan bermanifestasi pada perubahan struktur kulit dan menimbulkan xerosis serta pruritus. Metode Penelitian: Literatur dikumpulkan secara elektronik maupun tertulis dari PubMed, Sinta dan buku ajar dermatologi geriatrik dengan total 46 literatur berbahasa Inggris maupun Indonesia. Hasil dan Pembahasan: Pada kulit usia lanjut terjadi penurunan kemampuan kulit untuk mempertahankan air pada stratum korneum, sehingga menyebabkan penurunan kadar hidrasi kulit. Proses diferensiasi sel kulit pada usia lanjut lebih lambat dibandingkan usia muda, hal ini menyebabkan terganggunya permeabilitas kulit dan penurunan fungsi sawar kulit. Perubahan fisiologis tersebut dapat diperberat dengan adanya penyakit metabolik pada usia lanjut berupa diabetes melitus. Tatalaksana xerosis dan pruritus dapat berupa topikal dan oral yang bersifat simptomatik dengan tujuan meningkatkan hidrasi kulit dan menunjang struktural sawar kulit. Kesimpulan dan Saran: Peran hidrasi dan sawar kulit sangat penting dalam menjaga kelembaban kulit pada orang usia lanjut. Penurunan fungsi sawar kulit dan kadar hidrasi kulit dapat disebabkan oleh karena faktor ekternal maupun internal, sehingga dibutuhkan tata laksana yang komprehensif pada kulit orang usia lanjut untuk menjaga kadar hidrasi kulit dan sawar kulit.

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“…In these facilities, elderly populations are at increased risk for skin and soft tissue infections (SSTIs) [ 2 ] related to physiological, aged-related changes to the skin, decline in immune function and the presence of comorbid conditions such as vascular disease [ 3 , 4 ]. It is important that antimicrobial therapy for SSTIs is targeted and appropriately prescribed, in order to improve clinical outcomes and reduce risks of adverse outcomes (e.g.…”

Section: Introductionmentioning

confidence: 99%

Skin and soft tissue infections and current antimicrobial prescribing practices in Australian aged care residents

Bennett

Imam

Ingram³

et al. 2019

Epidemiol. Infect.

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To determine the burden of skin and soft tissue infections (SSTI), the nature of antimicrobial prescribing and factors contributing to inappropriate prescribing for SSTIs in Australian aged care facilities, SSTI and antimicrobial prescribing data were collected via a standardised national survey. The proportion of residents prescribed ⩾1 antimicrobial for presumed SSTI and the proportion whose infections met McGeer et al. surveillance definitions were determined. Antimicrobial choice was compared to national prescribing guidelines and prescription duration analysed using a negative binomial mixed-effects regression model. Of 12 319 surveyed residents, 452 (3.7%) were prescribed an antimicrobial for a SSTI and 29% of these residents had confirmed infection. Topical clotrimazole was most frequently prescribed, often for unspecified indications. Where an indication was documented, antimicrobial choice was generally aligned with recommendations. Duration of prescribing (in days) was associated with use of an agent for prophylaxis (rate ratio (RR) 1.63, 95% confidence interval (CI) 1.08–2.52), PRN orders (RR 2.10, 95% CI 1.42–3.11) and prescription of a topical agent (RR 1.47, 95% CI 1.08–2.02), while documentation of a review or stop date was associated with reduced duration of prescribing (RR 0.33, 95% CI 0.25–0.43). Antimicrobial prescribing for SSTI is frequent in aged care facilities in Australia. Methods to enhance appropriate prescribing, including clinician documentation, are required.

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Skin and Wound Care

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Cited by 31 publications

References 58 publications

Reconstruction of foot and ankle defects using the vaccum sealing drainage versus the induced‐membrane the elderly: A retrospective comparative study

Reconstruction of foot and ankle defects using the vaccum sealing drainage versus the induced‐membrane the elderly: A retrospective comparative study

Peran Hidrasi Kulit Dan Perbaikan Sawar Kulit Pada Xerosis Dan Pruritus Di Usia Lanjut

Skin and soft tissue infections and current antimicrobial prescribing practices in Australian aged care residents

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