Sound Evidence - May 2008 - (Page 3) 52 TABLE 1 PATIENT, WOUND, AND TREATMENT CHARACTERISTICS Infection MRSA (prior to admit; date unavailable) March 29: 18x15.5x10 June 20: 6.5x5x0.1 Volume: 99.9% Area: 88% Wound dimensions (cm) % Reduction NPWT/APWT Treatment* April5 – June 1 APWT treatments: 26 Time: 9-20 minutes Sex Age Medical history OstomyWound Management 1 Male 43 T4 paraplegia, neurogenic bowel/bladder, chronic LE spasticity, chronic pain 2 Clostridium cryptococcus, bacillus, enterococcus, S. aureus (Aug 11) August 16: 30x16x3 November 30: 15.5x5.5x0.2 Volume: 99% Area: 82% Corynebacterium (Apr 30) April 25: 21x7x2 June 14: 14x1.9x0.1 Female 58 Disseminated cryptococcal infection, BC (metastatic), DM, cachexia Volume: 99% Area: 82% August 27 – October 26 APWT treatments: 14 Time: 12-20 minutes April 27 – May 28 APWT treatments: 14 Time: 15-17 minutes 3 Male 44 IDDM, compartment syndrome, hepatitis B&C, depression, anxiety MRSA (prior to admit; date unavailable) 4 Female 85 Wound Location and Etiology Deeply debrided Stage IV PU (buttocks), bilateral ischiorectal abscesses Necrotizing fasciitis of left medial thigh s/p surgical debridement Surgical fasciotomy of left lateral calf s/p compartment syndrome Left groin s/p surgical hematoma evacuation August 10: 12x19x5 November 1: 4.5x5x0.2 Volume: 99.6% Area: 90% August 9 – November 2 APWT treatments: 21 Time: 4–20 minutes 5 Surgical sternal MRSA blood wound dehiscence (prior to admit; date unavailable) Female 66 Volume: * Area: 60% July 10: 12.8x2.5x0.5 August 28: 8x1.5* *Depth not measurable, hypergranular Volume: 100% Area: 100% July 5 – August 28 APWT treatments: 21 Time: 3-4 minutes 6 Postsurgical wound abscess of right groin/thigh Female 70 Hematoma/pseudoaneurysm left groin, VRE urine, HTN, critical aortic stenosis, CHF, A-fib, DVT, BC, anemia, C. difficile CAD, CABG, CHF, MI Stage IV PU (coccyx), sepsis cachexia, anorexia, PEG tube, anemia, esophagitis, renal disease, AAA, carotid endarterectomy Necrotizing fasciitis, PE, DVT, CAD, anemia, respiratory insufficiency, OA, osteoporosis, cachexia Actinobaculum schaalii, Actinomyces cardiffensis, October 19: 29x10x3.5 S. epidermidis, January 14: 0.2x0.2x0.1 Bacteroides caccae (prior and 0.3x0.2x0.1 to admit; date unavailable) October 27 – December 8 APWT treatments: 21 Time: 12-20 minutes AAA=abdominal aortic aneurysm, BC=breast cancer, CABG=coronary artery bypass graft, CAD=coronary artery disease, CHF=congestive heart failure, DVT=deep vein thrombosis, HTN=hypertension, LE=lower extremity, MI=myocardial infarction, MRSA=methicillin-resistant Staphylococcus aureus, OA=osteoarthritis, PE=pulmonary embolus, , PEG=percutaneous endoscopic gastrostomy, PU=pressure ulcer, VRE=vancomycin-resistant enterococcus *NPWT administered continuously throughout stated period; APWT administered 3 times per week throughout stated period
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