Infection Management

Laurie Swezey's picture

By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

Wound irrigation, when performed properly, can enhance wound healing. It is not as simple as pouring normal saline over a wound prior to dressing it – it must be performed properly in order to get the most out of this frequently misunderstood intervention.

Blog Category: 
Temple University School of Podiatric Medicine's picture

By Sejal Bhojani and James McGuire DPM, PT, CPed, FAPWHc

RTD® (Retro-Tech Dressing) is a foam wound dressing that has been designed to promote healing in chronic wounds by utilizing silver ion (Ag+), gentian violet (GV), and methylene blue (MB). Ag+ ions kill bacteria in the wound fluid absorbed by the dressing. GV works as an antifungal, antimicrobial, and mild analgesic, and MB, which is strongly bound to the foam matrix, has an affinity for negatively charged proteins found in the components of exudate.

Blog Category: 
Karen Zulkowski's picture

By Karen Zulkowski DNS, RN, CWS

Back in 2012, I blogged about glove change and hand washing during dressing change frequency and hand washing during dressing changes. Your comments were very informative. It is sad that facilities are being cited for not changing gloves, and rewashing and sanitizing hands during a dressing change. There is no evidence this does anything but add to the cost. What's important is to protect yourself from the patient's bacteria.

Blog Category: 
Bruce Ruben's picture

By Bruce E. Ruben MD

According to the American Hospital Association, over 36 million patients are admitted to hospitals every year. Presumably, these patients go to hospitals to get well, but one in 20 end up getting something else: an infection. Worse, one in nine of those infections result in death.

Michel Hermans's picture

By Michel H.E. Hermans, MD

A recent article in Mayo Clinic's Proceedings studies contamination of stethoscopes. After a standardized physical examination, several parts of the physicians' hand were cultured and the results were compared to cultures of the stethoscope diaphragm and tube. As it turned out, fingertip contamination was highest but the diaphragm of the stethoscope showed a higher level than the thenar eminence of the physician's hand. The conclusion of the article stated that the stethoscope may play a serious role in cross contaminating patients.

Bruce Ruben's picture

By Bruce E. Ruben MD

Osteomyelitis is an infection and inflammation of the bone or bone marrow caused by bacteria or other germs. Osteomyelitis is most often caused by the bacteria Staphylococcus, though it can also be caused by a fungus or other germs. With osteomyelitis, bacteria can spread to a bone from infected skin, muscles, or tendons in close proximity to the bone.

Bruce Ruben's picture

By Bruce E. Ruben MD

Part 1 in a series on infection management

What is an Infection?

The world of bacteria, viruses, fungi and parasites has a long and storied place in the human condition. Way more often than not, bacteria live normally on our skin and line our entire gastrointestinal tract from mouth to anus.