Early wound excision within three days decreases risks of wound infection and death in burned patients

Tejera, Giovanna De La; Corona, Kassandra K; Efejuku, Tsola; Keys, Phillip H; Joglar, Alejandro A; Villarreal, Elvia L; Gotewal, Sunny; Wermine, Kendall; Huang, Lyndon G; Golovko, George; Ayadi, Amina El; Palackic, Alen; Wolf, Steven E.; Song, Juquan

doi:10.1016/j.burns.2023.06.003

Cited by 8 publications

(1 citation statement)

References 15 publications

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“…Odada et al (2024) research on incision wound infections of cesarean section distinguishes infections based on the time of infection; the first infection is an infection that occurs when the patient is in the hospital with a total of 27%, the second infection that occurs during re-admission is 1%, and the largest infection case is after the patient is discharged from the hospital with an incidence rate of 71% (Zhang et al, 2023). Surgical wound infection (ILO) is one of the post-surgical complications that is a serious problem because it can increase morbidity and length of treatment, which will certainly increase costs, possibly resulting in disability to death (De La Tejera et al, 2023;Galosi et al, 2024;Peter & Ali Seif, 2022). Directly related death rates from the ILO range from 3% to 75% in hospitals worldwide (Li et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Comparison of Conventional and Modern Wound Care in Post-Section Wounds at Cut Mutia Hospital, North Aceh Regency in 2023

Yusnidaryani,

Taufiq,

Fauzi

2024

JHS

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The World Health Organization (WHO) sets the average cesarean sections (CS) standard at 5-15% per 1000 births. However, cesarean section rates in private hospitals exceed 30%, compared to 11% in government hospitals. This study investigates the prevalence and complications of surgical wound infections post-cesarean section and the effectiveness of modern wound dressing techniques in reducing these infections. Data analysis reveals cesarean wound infections occur during hospitalization (27%), re-admission (1%), and post-discharge (71%). Surgical wound infections (SWI) significantly increase morbidity, treatment duration, and healthcare costs, with a direct death rate ranging from 3% to 75% globally. The study evaluated modern wound dressings adhering to "moist wound healing" principles, such as hydrocolloids, alginate, and foam, which maintain a moist environment to enhance epithelial cell proliferation, accelerate wound healing, and reduce scarring. Findings indicate that moist wound dressings significantly improve healing outcomes, promoting epithelialization and collagen synthesis, with techniques showing a 30-50% increase in epithelialization and a 2-5 times faster re-epithelialization rate. These results highlight the need for adopting advanced wound care techniques to reduce surgical wound infections and improve patient recovery post-cesarean section. The study implies that healthcare providers should integrate modern wound care practices to enhance maternal health outcomes globally.

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