Wound Care, Department of Infectious Diseases, Tufts Medical Center, Boston, MA 02111, USA.
Icahn School of Medicine at Mount Sinai, New York, NY 10010, USA.
Clin Geriatr Med. 2024 Aug;40(3):471-480. doi: 10.1016/j.cger.2024.03.001. Epub 2024 Apr 12.
The treatment, maintenance, and suppression of infection in chronic wounds remain a challenge to all practitioners. From an infectious disease standpoint, knowing when a chronic wound has progressed from colonized to infected, when to use systemic antimicrobial therapy and when and how to culture such wounds can be daunting. With few standardized clinical guidelines for infections in chronic wounds, caring for them is an art form. However, there have been notable advances in the diagnosis, treatment, and management of infected wounds. This article will discuss the pathophysiology of infection in older adults, including specific infections such as cutaneous candidiasis, necrotizing soft tissue infection, osteomyelitis, and infections involving hardware.
慢性伤口的治疗、护理和感染控制仍然是所有从业者面临的挑战。从传染病学的角度来看，了解慢性伤口何时从定植状态进展为感染状态，何时需要使用全身性抗菌治疗，以及何时以及如何培养这些伤口，可能会令人望而却步。由于慢性伤口感染的临床指南很少标准化，因此对其进行护理是一种艺术形式。然而，在感染性伤口的诊断、治疗和管理方面已经取得了显著进展。本文将讨论老年人感染的病理生理学，包括特定感染，如皮肤念珠菌病、坏死性软组织感染、骨髓炎和涉及硬件的感染。
