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When patients would come into his Texas clinic with the small and seemingly harmless sores, caused by the disease restricting blood flow and damaging nerves, the wounds would often resist traditional antibiotics and refuse to heal. In many cases, infection would spread to the bone and become life-threatening. Wolcott saw firsthand why diabetes is the leading cause of lower-extremity amputations not associated with traumatic injury. And when an amputation caused complications, he saw how the ulcers can, ultimately, result in death. Read More
Staphylococcus aureus nasal carriage is a proven risk factor for the development of staphylococcal surgical site infections, or SSIs. S. aureus infections are associated with increased length of hospital stays, increased mortality and higher costs of medical care. Nasal colonization rates with S. aureus have been reported to reach up to 30%, with 1% to 3% having methicillin-resistant organisms. Nasal decolonization strategies have proven beneficial in reducing not only S. aureus colonization but also S. aureus SSIs. The most common nasal decolonization strategy is to administer mupirocin to the nares starting a few days before surgery. A consequence of mupirocin use, however, has been the development of mupirocin-resistant staphylococci. Because of concerns about resistance and whether patients can be relied upon to apply mupirocin before surgery, alternative approaches to nasal decolonization are being investigated. Read More
Many burn victims suffer acute kidney injury (AKI), but early recognition of AKI remains challenging. Now an Artificial Intelligence / Machine Learning (AI/ML) model developed at UC Davis Health and reported in a new study can predict acute kidney injury quicker and more accurately than ever. "The ability to predict AKI in burn patients using AI is a potential breakthrough for burn centers," said Tina Palmieri, professor and director of the Firefighters Burn Institute Regional Burn Center at UC Davis Medical Center. Read More
New OR technologies and procedures are increasing length of surgery in many cases. For patients already at high-risk for co-morbidities, this combination is leading to increased pressure injuries such as alopecia and deep tissue sacral injury caused by unrelieved pressure. “These injuries are occurring even with evidence-based positioning practices and device placement because the mindset toward changes in practice, even simple ones such as adding a one-minute pause during lengthy surgery to reposition, are not being discussed at the leadership level,” according to Cassendra Munro, PhDc, MSN, RN, RNFA, CNOR, magnet, professional practice, and care experience manager at Saint John’s Health Center in Santa Monica, Calif., consultant, and creator of the Munro Pressure Ulcer Risk Assessment Scale for Perioperative Patients©. With pressure injury on the rise, she says it’s going to take collaboration between leadership, the frontline and industry to tackle pressure injury on several fronts. Read More