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Surgical site infections of post-transplanted heart patients, as well as wound care, have little scientific evidence in Mexico, although adequate treatment in infected wounds with advanced wound dressings or cellulose membranes that allow us to clearly assess the incision can reduce hospital stay, pain, anxiety and the infection itself, together with appropriate antibiotic therapy. The aim of this case report is to describe the management and care of the surgical site infection (Gram-negative bacillus) following a heart transplant that includes the transparent cellulose membrane.
Dalila Diana Bautista Uribe
Nurse Specialised in Wounds, Stomata and Burns, Centro Médico Siglo XXI Cardiología, Mexico City, CDMX, Mexico
Key words
- Surgical site infection
- Bacterial cellulose membrane
- Heart transplant
This article is based on a presentation by Professor Steven Jeffery at the annual Wounds UK conference in Harrogate, on 7 November 2023. Professor Jeffery presented clinical studies on how a bioengineered wound therapy with a porcine urinary bladder matrix (UBM) may facilitate healing of chronic wounds.
Steven LA Jeffery
Medical Director Pioneer Wound Telehealth and Professor of Wound Study, Birmingham City University
John McRobert
Clinical Research Director, Pioneer Wound Telehealth
Key words
- Chronic diabetic wounds
- Urinary bladder matrix
- Macrophages
- Wound healing
- Meeting report
- Wound care services
This meeting report has been funded by an educational grant from Integra
Management, as well as prevention, of wound infection is key in the promotion of the healing process. In India, over one million people are moderately or severely burnt every year, and managing the challenging burn wounds is a daily reality for clinicians in the country. Silver has been used as an antimicrobial in burn wound management for decades and modern advanced dressings can provide safe prevention and management of infection in these cases. This article reports the cases of two adults, an infant and a child with burns, at risk of infection and managed with a Technology Lipido-Colloid non-adherent dressing with silver (TLC-Ag; UrgoTul Ag/Silver). The main benefits observed when using the evaluated dressing in these patients included rapid wound healing but also patient-related outcomes, such as decrease in pain and atraumatic removal.
Dr Venkateswaran
Plastic Surgeon, Jupiter Hospital, Mumbai, India
Dr Ravichander Rao A
Plastic Surgeon, Care Hospital, Hyderabad, India
Dr Krishna Kumar
Plastic, Aesthetics, Burns, Hand and Reconstructive Microsurgeon, Kovai Medical Centre & Hospital, Coimbatore, India
Dr Sankamithra
Consultant Plastic Surgeon, Lakshmi Medical center, Pollachi, India
Key words
- Burns
- Lipido-colloid non-adherent dressing
- Silver
Declarations
All authors have no particular conflicts of interest to declare regarding these cases.
Abstract: Electrical burns represent 5-8% of burns in developed countries (World Heath Organization, 2016). A multidisciplinary approach is required due to the variety and complexity of injuries, which are affected by the intensity of the electrical current, compromised tissues in the patient, and the duration of exposure. This paper presents a patient case and discusses complications to consider. The efficacy, tolerability and safety of recombinant human epidermal growth factor (rhEGF) is discussed together with other considerations and long-term outcomes.
Espitaleta Omaira
Department of Plastic and Reconstructive Surgery, Clínica Cartagena del Mar S.A.S.
Dr Román Carlos
Plastic Surgeon, Clínica General del Caribe
Gaviria N. Ángela María
BSc, MSc Epidemiology, Grupo Biociencias, Institución Universitaria Colegio Mayor de Antioquia
Carrillo B. Carlos Alberto
Epidemiologist, Sociedad Colombiana de Medicina Preventiva
Key words
- Electricai burns
- rhEGF
- Multidisciplinary