Hayashida Kenji, Yamakawa Sho
Division of Plastic and Reconstructive Surgery, Shimane University Faculty of Medicine, 89-1 Enya-cho, Izumo, Shimane, 693-0021, Japan.
Burns Trauma. 2021 Aug 26;9:tkab025. doi: 10.1093/burnst/tkab025. eCollection 2021.
Preventing microbial colonization or infections that cause offensive smells may lead to odor reduction. As both anaerobic and aerobic bacteria cause the release of malodor from wounds, the most direct way of avoiding or eliminating wound odor is to prevent or eradicate the responsible infection through the debridement of necrotic tissues. However, some burn patients with malodorous wounds are unable to undergo debridement due to systemic conditions, especially in the acute stage. Moreover, the optimal drug doses and dressings to ensure the efficacy and cost-effectiveness of odorous burn wound management is unclear. The purpose of this commentary is to outline the odor management options available for burn patients, focusing on topical strategies. Numerous potential therapies for treating odorous wounds after burn injuries are suggested.
预防导致难闻气味的微生物定植或感染可能会减少气味。由于厌氧菌和好氧菌都会导致伤口释放恶臭，避免或消除伤口气味的最直接方法是通过清创坏死组织来预防或根除相关感染。然而，一些有恶臭伤口的烧伤患者由于全身状况无法进行清创，尤其是在急性期。此外，尚不清楚确保恶臭烧伤伤口管理的疗效和成本效益的最佳药物剂量和敷料。本评论的目的是概述可供烧伤患者选择的气味管理方法，重点是局部策略。文中提出了许多治疗烧伤后有气味伤口的潜在疗法。
