Bhattacharyya Mayukh, Bradley Helen
University Hospital Lewisham, London.
Int J Low Extrem Wounds. 2006 Jun;5(2):105-8. doi: 10.1177/1534734606288410.
This report presents the difficulties encountered in managing a wound colonized with methycillin-resistant Staphylococcus aureus (MRSA) following a complex knee surgery in an elderly female patient with generalized psoriasis. The patient's chronic wound was successfully treated with nanocrystalline silver-releasing dressings (Acticoat). The patient did not develop a deep-seated infection, nor was removal of the implant needed. However, the wound infection persisted for 6 months. At 3 years follow-up, the patient has satisfactory skin over the implant on the knee.
本报告介绍了一名患有全身性银屑病的老年女性患者在进行复杂膝关节手术后,处理耐甲氧西林金黄色葡萄球菌(MRSA)定植伤口时遇到的困难。患者的慢性伤口通过释放纳米晶银的敷料(Acticoat)成功治愈。患者未发生深部感染,也无需取出植入物。然而,伤口感染持续了6个月。在3年的随访中,患者膝关节植入物上方的皮肤状况良好。