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An international group of experts on infectious diseases has published new guidance on reducing antibiotic use, and promoting stewardship, in the treatment of wounds.The position paper, is an effort to establish standards for diagnosing and treating clinically infected wounds and to incorporate antimicrobial stewardship structures into the daily practice of managing wound care. Read More
A panel that advises the CMS on Medicare coverage decisions concluded there's too little evidence that current treatments for diseased leg veins improve health outcomes. The Medicare Evidence Development and Coverage Advisory Committee voted Wednesday against recommending national Medicare coverage for the procedures. If the CMS agrees, the conclusion would leave in place the patchwork of local coverage decisions by Medicare contractors, which has led to inconsistent reimbursement for providers and access for patients. Read More
A type of targeted therapy that has shown promising results treating advanced melanoma could also be used to help speed up how the skin repairs itself from injury, providing a potential new way to accelerate healing of acute and chronic wounds. In the United States alone, chronic wounds affect more than 6.5 million people and many areas of medicine-from improving recovery times after surgery to reducing skin-related secondary effects of cancer treatments and other diseases-can benefit from speeding up the skin's healing process. Read More
There is a common misconception that all wounds must be either sutured within a few hours or left open and relegated to slow healing and an unsightly scar. Early in my medical career, I was taught the same rule, only I heard that it was the Eight Hour Rule. I remember patients coming to the ER where I was working as an orderly being told that their laceration could not be sutured because it was, say, ten hours old. I was told that the reason for this was that the risk of infection goes up way up with laceration age and after eight hours, they mostly all got infected. Wrong-o! Read More