Abdominal Surgical Site Infection Incidence and Risk Factors in a Mexican Population
OBJECTIVE: To investigate possible predictors and prevalence of surgical site infections (SSIs) in a group of Mexican patients who underwent open abdominal surgery. METHODS: This retrospective study included all patients (N = 755) who underwent elective or emergency open abdominal surgeries from October 2011 to March 2012. MAIN OUTCOME MEASURE: Sociodemographic and clinical characteristics were collected through preoperative and postoperative examinations by the infection surveillance team. The relationship among variables (age, gender, body mass index, comorbidities, smoking habit, antimicrobial prophylaxis, hair ...
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: ONLINE EXCLUSIVE Source Type: research

Skin as an Interface: Implications for Interprofessional Collaboration and Whole-Person Care
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: CE TEST Source Type: research

Comprehensive Patient and Wound Assessments
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: DEPARTMENTS: PRACTICE POINTS Source Type: research

Evaluating the Effects of a Pressure Injury Prevention Algorithm
OBJECTIVE: To evaluate the effect of a pressure injury prevention algorithm on pressure injury prevention. DESIGN, SETTING, AND PARTICIPANTS: This intervention study was conducted in the anesthesiology and reanimation ICU (ARICU) of a university hospital. The study included two sample groups (nurses and patients). All patients older than 18 years (prealgorithm, n = 80; postalgorithm, n = 74) in the ARICU who verbally consented were included in the study. All 15 nurses who worked in the ARICU during the postalgorithm period agreed to participate in the study. INTERVENTIONS: The study was performed in four phases. In...
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATIONS Source Type: research

Comparing Human Amniotic Allograft and Standard Wound Care When Using Total Contact Casting in the Treatment of Patients with Diabetic Foot Ulcers
CONCLUSIONS: Although significance was not established because of sample size, there was a definite trend toward significance that merits further investigation with human amniotic allograft. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATIONS Source Type: research

Visualizing Tissue Strain Under the Sacrum and Coccyx in Different Supine Postures: A Case Series
CONCLUSIONS: This case series is useful in defining new areas of research that can (1) identify the deformation induced by normal and frictional forces resulting from different positions of the bed chassis, (2) assess the impact of positioning the pelvis on elevated versus horizontal segments of the bed chassis, and (3) define the association between sacral and coccyx morphology and pressure ulcer occurrence in hospitalized patients. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: FEATURES: CASE SERIES Source Type: research

An Introduction to Skin as an Interface: Implications for Interprofessional Collaboration and Whole-Person Care
This article will increase health practitioner understanding of the skin and skin assessment by highlighting its multidimensional aspects and significant implications for interprofessional collaboration in whole-person care. Through a multidimensional assessment of the skin, practitioners can better understand the health story of each patient and intervene holistically to improve overall well-being and quality of life. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: FEATURES: CLINICAL MANAGEMENT EXTRA Source Type: research

Make a Habit of Reviewing Remittance Advices
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: DEPARTMENTS: PAYMENT STRATEGIES Source Type: research

National Pressure Ulcer Advisory Panel 2019 Award Recipients
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: DEPARTMENTS: IN THE NEWS Source Type: research

An Excellent Review
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: DEPARTMENTS: LETTERS TO THE EDITOR Source Type: research

Historical Perspective on Pressure Injury Classification
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: DEPARTMENTS: LETTERS TO THE EDITOR Source Type: research

Total Contact Cast for Diabetic Foot Ulcers: An Underused “Gold Standard”
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - May 21, 2019 Category: Dermatology Tags: DEPARTMENTS: EDITORIAL Source Type: research

A Histologic Perspective on Electrical and Thermal Burn-Injured Human Skin
CONCLUSIONS: Antioxidant treatment may be advantageous in minimizing injury in patients with thermal burns but not always in electrical burns. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - April 20, 2019 Category: Dermatology Tags: ONLINE EXCLUSIVE Source Type: research

Calciphylaxis: Diagnosis, Pathogenesis, and Treatment
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - April 20, 2019 Category: Dermatology Tags: FEATURES: CLINICAL MANAGEMENT EXTRA Source Type: research

Understanding Your Merit-based Incentive Payment System Performance Feedback Report
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - April 20, 2019 Category: Dermatology Tags: DEPARTMENTS: PRACTICE POINTS Source Type: research

Autologous Platelet-Rich Plasma and Fibrin Glue Decrease Pain Following Excision and Primary Closure of Pilonidal Sinus
CONCLUSIONS: The addition of PRP-FG has the potential to reduce pain significantly in primary closure of pilonidal sinus. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - April 20, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATIONS Source Type: research

Professionals’ Knowledge, Attitudes, and Practices Related to Pressure Injuries in Canada
CONCLUSIONS: The findings from this survey have highlighted a disconnect between Canadian healthcare professionals’ awareness of PIs and the implementation of best practices for PI prevention. It is evident that, although the majority of respondents were aware of PIs and related treatment protocols, barriers still exist that impede optimized care and treatment. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - April 20, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATIONS Source Type: research

Risk Factors for Surgical Site Infection in Minor Dermatological Surgery: A Systematic Review
CONCLUSIONS: Re-excision of skin cancer, below-knee excisions, and intraoperative hemorrhagic complications were predictive for infection in more than one study. More high-quality studies are required to accurately identify risk factors so they can be reliably used in clinical guidelines. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - April 20, 2019 Category: Dermatology Tags: FEATURES: LITERATURE REVIEW Source Type: research

Calciphylaxis: Diagnosis, Pathogenesis, and Treatment
This article is a narrative review summarizing the clinical features, diagnosis, pathogenesis, and treatment of calciphylaxis. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - April 20, 2019 Category: Dermatology Tags: FEATURES: CLINICAL MANAGEMENT EXTRA Source Type: research

News You Should Use About the -59 and -X{EPSU} Modifiers
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - April 20, 2019 Category: Dermatology Tags: DEPARTMENTS: PAYMENT STRATEGIES Source Type: research

Pressure Injuries: Nursing-Sensitive Indicator or Team- and Systems-Sensitive Indicator?
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - April 20, 2019 Category: Dermatology Tags: DEPARTMENTS: EDITORIAL Source Type: research

Photobiomodulation Therapy for Wound Care: A Potent, Noninvasive, Photoceutical Approach
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - March 21, 2019 Category: Dermatology Tags: FEATURES: CLINICAL MANAGEMENT EXTRA Source Type: research

Merit-based Incentive Payment System 2019: Promoting Interoperability Details and Measures
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - March 21, 2019 Category: Dermatology Tags: DEPARTMENTS: PRACTICE POINTS Source Type: research

Negative-Pressure Wound Therapy for Managing Complicated Wounds at Extracorporeal Membrane Oxygenation Sites
CONCLUSIONS: Negative-pressure wound therapy appears to be a safe and effective treatment option in the management of complicated wounds at ECMO sites. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - March 21, 2019 Category: Dermatology Tags: FEATURES: CASE SERIES Source Type: research

Medical Adhesive-Related Skin Injuries and Associated Risk Factors in a Pediatric Intensive Care Unit
CONCLUSIONS: Researchers concluded that MARSI is common in the PICU. Skin stripping and skin tear were the most common types, and the face was the most vulnerable site for MARSI, typically attributable to the cloth tape used to affix tracheal intubation. Careful attention should be paid to children with identified risk factors (females, age 2 years or younger, longer hospital stays, edema, infection, or surgery). (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - March 21, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATIONS Source Type: research

Plantar Ulcers and Neuropathic Arthropathies: Associated Diseases, Polyneuropathy Correlates, and Risk Covariates
CONCLUSIONS: Although DM was the disease most commonly associated with PUs and NAs, chronic hyperglycemia may not have been the major underlying risk factor. The major risk covariates are sensation loss from polyneuropathy, old age, obesity, repetitive foot injury, and inadequate foot care or treatment. Physicians and other healthcare providers can help by identifying patients at risk and instituting measures such as adequate foot care to decrease these risks. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - March 21, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATIONS Source Type: research

Photobiomodulation Therapy for Wound Care: A Potent, Noninvasive, Photoceutical Approach
CONCLUSIONS: Noninvasive, economical, and multipurpose light devices are an attractive tool for wound management. However, there is an urgent need in the wound care community to develop optimal clinical protocols for use based on well-designed, rigorous clinical research studies. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - March 21, 2019 Category: Dermatology Tags: FEATURES: CLINICAL MANAGEMENT EXTRA Source Type: research

Skilled Nursing Facility Consolidated Billing Should Not Be a Mystery
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - March 21, 2019 Category: Dermatology Tags: DEPARTMENTS: PAYMENT STRATEGIES Source Type: research

Peripheral Neuropathy and the Insensate Foot: More Than Diabetes
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - March 21, 2019 Category: Dermatology Tags: DEPARTMENTS: EDITORIAL Source Type: research

An Introduction to Burn Care: Erratum
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: ERRATUM Source Type: research

Hyperbaric Oxygen Therapy for Second-Degree Burn Healing: An Experimental Study in Rabbits
CONCLUSIONS: The authors conclude that HBOT may improve second-degree burn healing by increasing inflammatory cell migration and re-epithelialization. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: ONLINE EXCLUSIVE Source Type: research

Reexamining the Literature on Terminal Ulcers, SCALE, Skin Failure, and Unavoidable Pressure Injuries
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: FEATURES: CLINICAL MANAGEMENT EXTRA Source Type: research

Misdiagnosis of Wounds
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: DEPARTMENTS: PRACTICE POINTS Source Type: research

Silicone Foam Dressing for Prevention of Sacral Deep Tissue Injuries Among Cardiac Surgery Patients
OBJECTIVE: To evaluate the effect of silicone foam dressings, placed preoperatively, on the incidence of postoperative sacral deep-tissue pressure injuries. DESIGN, SETTING, AND PATIENTS: An uncontrolled before-and-after quality improvement method was used. Within a single, urban academic medical center, consecutively admitted adult cardiac surgery patients were included in the pre- and postintervention groups; only those receiving elective procedures were included. INTERVENTION: Nurses applied a sacral silicone foam dressing preoperatively. This dressing was maintained on the patient’s sacrum intraoperativel...
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATION Source Type: research

Survey Results from the Gulf Region: NPUAP Changes in Pressure Injury Terminology and Definitions
Pressure injuries/ulcers are a global health issue, and there is a need for clinicians from many countries and continents to express their opinions on the terminology change (pressure ulcer to injury) and revised staging definitions. A convenience, opinion survey sample of clinicians from the Western Asia Gulf Region enrolled in a yearlong wound care course participated by expressing their opinion about these changes. Results reveal support for the pressure injury terminology and the revised staging definitions. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATION Source Type: research

Pressure Ulcer Prevalence by Level of Paralysis in Patients With Spinal Cord Injury in Long-term Care
CONCLUSIONS: Within paralysis groups (quadriplegic, paraplegic, hemiplegic), risk factors for PU differed in type and magnitude. The PU rates associated with quadriplegia and paraplegia are much higher than LTC residents without paralysis, and PU prevalence for hemiplegia is similar to the rate in LTC residents without paralysis. When the risk factor of paraplegia versus quadriplegia was isolated, PU prevalence for patients with paraplegia was significantly higher. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATION Source Type: research

Reexamining the Literature on Terminal Ulcers, SCALE, Skin Failure, and Unavoidable Pressure Injuries
This article synthesizes the literature regarding the concepts of “terminal” skin injuries that are found in patients at the end of life, including Kennedy terminal ulcers, Skin Changes At Life’s End, Trombley-Brennan terminal tissue injuries, and skin failure. Also included is a discussion of avoidable and unavoidable pressure injuries as defined and differentiated by the Centers for Medicare & Medicaid Services and the National Pressure Ulcer Advisory Panel. To help clarify the controversy among these terms, a unifying concept of “skin failure” that may occur with an acute illness, chron...
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: FEATURES: CLINICAL MANAGEMENT EXTRA Source Type: research

Did You Know That Competitive Bidding Has Temporarily Ended?
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: DEPARTMENTS: PAYMENT STRATEGIES Source Type: research

Historical Perspective on Pressure Injury Classification: The Legacy of J. Darrell Shea
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: DEPARTMENTS: COMMENTARY Source Type: research

From Decubitus and Pressure Ulcers to Pressure Injuries
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - February 26, 2019 Category: Dermatology Tags: DEPARTMENTS: EDITORIAL Source Type: research

Diagnosis and Management of Cutaneous Psoriasis: A Review
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - February 1, 2019 Category: Dermatology Tags: FEATURES: CLINICAL MANAGEMENT EXTRA Source Type: research

Merit-based Incentive Payment System: 2019 Changes
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - January 19, 2019 Category: Dermatology Tags: PRACTICE POINTS Source Type: research

Quantitative Analysis of Heel Skin Microcirculation Using Laser Doppler Flowmetry and Tissue Spectrophotometry
CONCLUSIONS: The increase in blood flow in superficial skin layers indicates reactive hyperemia after exposure in both groups. The prolonged hyperemia in deep skin layers in patients with diabetes indicates increased tissue vulnerability. Despite the increase in blood flow in deep skin layers, the SO2 and thus supply of tissue in patients with diabetes were reduced. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - January 19, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATION Source Type: research

Implementing a Chronic Wound Care Workshop for Internal Medicine Residents
CONCLUSIONS: It is feasible to insert a chronic wound care education into a busy IM curriculum. Future efforts will be aimed at assessing the wound care needs/resources of the IM outpatient clinics, addressing the comfort of the supervising attending physicians and residents with wound care, and focusing the curriculum on high-yield interventions. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - January 19, 2019 Category: Dermatology Tags: FEATURES: ORIGINAL INVESTIGATION Source Type: research

Martorell’s Ulcer Successfully Treated by Wireless Microcurrent Stimulation Technology
Martorell’s ulcers are hard-to-heal leg ulcers typically accompanied by a significant elevation of blood pressure and severe pain. This case study examines the use of an innovative technology, wireless microcurrent stimulation, for the healing of a Martorell’s ulcer. Using wireless microcurrent stimulation, study authors managed to reduce the size of a large Martorell’s ulcer by 90% within 8 weeks. In this article, the case of a 65-year-old woman is discussed in detail, and this new, contactless method is compared with traditional ulcer healing methods. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - January 19, 2019 Category: Dermatology Tags: FEATURES: CASE REPORT Source Type: research

Managing Ulcers Associated with Pyoderma Gangrenosum with a Urinary Bladder Matrix and Negative-Pressure Wound Therapy
This article presents a case study of one patient treated with a porcine urinary bladder matrix and negative-pressure wound therapy; this treatment combination provided pain relief, coverage of the wound, an acceptable aesthetic outcome, and long-term stability. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - January 19, 2019 Category: Dermatology Tags: FEATURES: CASE REPORT Source Type: research

Diagnosis and Management of Cutaneous Psoriasis: A Review
GENERAL PURPOSE: To provide information about the diagnosis and management of cutaneous psoriasis. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, the provider should be better able to: Describe the epidemiology, pathophysiology, clinical presentation, assessment, and diagnosis of the types and subtypes of psoriasis.Explain the use of topical treatments, intralesional steroids, phototherapy, conventional sys...
Source: Advances in Skin and Wound Care - January 19, 2019 Category: Dermatology Tags: FEATURES: CLINICAL MANAGEMENT EXTRA Source Type: research

Fiction or Fact: Reimbursement for Cellular and/or Tissue-Based Products for Skin Wounds
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - January 19, 2019 Category: Dermatology Tags: DEPARTMENTS: PAYMENT STRATEGIES Source Type: research

Online “Versus” Print: No More an Either/Or
No abstract available (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - January 19, 2019 Category: Dermatology Tags: DEPARTMENTS: EDITORIAL Source Type: research

A 12-Year Experience of Hidradenitis Suppurativa Management
CONCLUSIONS: This study revealed an association between smoking and obesity and the most severe stage of HS. Results showed that traditional medications used in this study were not effective for severe HS. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - December 23, 2018 Category: Dermatology Tags: ONLINE EXCLUSIVE Source Type: research