Marjolin’s Ulcer at the Kara Teaching Hospital (Togo)

Tchaa Hodabalo Towoezim1, Tamegnon Dossouvi2*, Yaovi Yanick Dellanh3, Kokou Kanassoua2,

Irokoura Kassegne4, Pio-Faré Gnandi1, Anani Abalo5, Ekoué David Dosseh6

1 Department of Traumatology, Teaching Hospital of Kara, University of Kara, Kara, Togo

2 Department of General Surgery, Teaching Hospital of Kara, University of Kara, Kara, Togo

3 Department of Traumatology, Regional Hospital of Sokodé, University of Lomé, Lomé, Togo

4 Department of General Surgery, Regional Hospital of Kara, University of Kara, Kara, Togo

5 Department of Traumatology, Sylvanus Olympio Teaching Hospital of Lomé-Togo, University of Lomé, Lomé, Togo

6 Department of General Surgery, Sylvanus Olympio Teaching Hospital of Lomé-Togo, University of Lomé, Lomé, Togo

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How to cite this paper: Towoezim, T.H., Dossouvi, T., Dellanh, Y.Y., Kanassoua, K., Kassegne, I., Gnandi, P.-F., Abalo, A. and Dosshe, E.D. (2022) Marjolin’s Ulcer at the Kara Teaching Hospital (Togo). Surgical Science, 13, 34-39.

https://doi.org/10.4236/ss.2022.131006

Received: September 17, 2021

Accepted: January 22, 2022

Published: January 25, 2022

Copyright © 2022 by author(s) and Scientific Research Publishing Inc.

This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).

http://creativecommons.org/licenses/by/4.0/

Abstract

      Marjolin’s ulcer is an aggressive tumor that occurs on a chronic non-healing wounds or burn scars. It’s a rare disease. Histologically, it is most often a squamous cell carcinoma. The real frequency is not known. Its incidence would be higher in developing countries where ancestral beliefs and financial difficulties cause consultation delays. Thus the diagnosis is delayed, due in part to the lack or insufficiency of diagnostic means. Our study aimed to describe the epidemiological, diagnostic and therapeutic particularities through three cases treated in our center. The delay in consultation resulted in the death of one patient, while for the other two, amputation prevented the extension of the tumor. Limb amputation is increasingly rare in the management of Marjolin’s ulcer, but in our difficult conditions it is still widely practiced when the tumor is localized at the extremity of the limb, without signs of remote invasion.

Keywords

Ulcer, Marjolin, Cancer, Squamous Cell Carcinoma, Amputation

Ji Desheng Snake Pills Combined with Hypertonic Glucose External Application in the Treatment of Stage III and IV Pressure Injuries

Rongting Liu1, Cong Zhang2, Jing Zeng3, Xue Wu1, Shihong Deng1, Jing Chen1*

1 Department of Gastrointestinal Surgery, The First Affiliated Hospital of Yangtze University, Jingzhou, China

2 Department of Cardio-Thoracic Surgery, The First Affiliated Hospital of Yangtze University, Jingzhou, China

3 Department of Orthopaedic Surgery, The First Affiliated Hospital of Yangtze University, Jingzhou, China

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How to cite this paper: Liu, R.T., Zhang, C., Zeng, J., Wu, X., Deng, S.H. and Chen, J. (2021) Ji Desheng Snake Pills Combined with Hypertonic Glucose External Application in the Treatment of Stage III and IV Pressure Injuries. Yangtze Medicine, 5, 117-124. https://doi.org/10.4236/ym.2021.52012

Received: August 10, 2020

Accepted: April 12, 2021

Published: April 15, 2021

Copyright © 2021 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).

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Abstract

Background: As a common surgical disease, pressure injury has become a long-standing problem in clinical treatment and nursing process. This research was conducted to explore the feasibility of Ji Desheng Snake Pills combined with hypertonic glucose external application in the treatment of stage III and IV pressure injuries.

Methods: Patients with stage III and IV pressure injuries, who received treatment in our hospital between December 2018 and December 2019 were selected and divided into experimental group, conventional treatment group, and control group, 30 cases for each. The three groups received Ji Desheng Snake Pills combined with hypertonic glucose external application, moist dressing external application and surgical dressing change, respectively. The safety, therapeutic effect and cost benefit of the three treatment methods were compared.

Results: There were no adverse reactions in the three groups of patients. The PUSH scores of the experimental group and the conventional treatment group were significantly lower than that of the control group on the 14th, 21th, and 28th days, and the result was statistically significant (p < 0.05), while there was no significant difference between the experimental group and the conventional treatment group (p >0.05). The wound healing rates of the experimental group (70.14 ± 8.27%) and the conventional treatment group (73.99 ± 7.15%) were significantly higher than that of the control group (43.25 ± 8.53%) on the 28th day, with statistical significance (p < 0.05); there was no significant difference between the experimental group and the conventional treatment group (p > 0.05). The total treatment costs of the three groups were 569.73 ± 78.12 yuan, 1043.40 ± 135.31 yuan, and 186.47 ± 30.29 yuan. The cost of the conventional treatment group was the highest, followed by the experimental group, and the control group was the lowest. The result was statistically significant (p < 0.05).

Conclusion: In the treatment of stage III and IV pressure injuries, there was no significant difference in the safety and therapeutic effect between the experimental group (Ji Desheng Snake Pills combined with hypertonic glucose external application) and the conventional treatment group (moist dressing external application), but the experimental group had better cost benefit.

Keywords

Ji Desheng Snake Pills, Hypertonic Glucose, Pressure Ulcer, Pressure Ulcer Scale for Healing Tool

Five-Year Surveillance of Central Line Associated Bloodstream Infection in an Intensive Care Unit Population—A Retrospective Analysis

Theresia Lutufyo1,2 , Yuan Li2, Hui Han2, Weidong Qin2, Geofrey Mahiki Mranda1,3,

Xiaomei Chen1,2

1 Shandong University Cheelo College of Medicine, Jinan, China

2 Department of Critical Care Medicine, Qilu Hospital of Shandong University, Jinan, China

3 Department of Gastrointestinal Surgery, The Second Hospital of Shandong University, Jinan, China

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How to cite this paper: Lutufyo, T., Li, Y., Han, H., Qin, W.D., Mranda, G.M. and Chen, X.M. (2022) Five-Year Surveillance of Central Line Associated Bloodstream Infection in an Intensive Care Unit Population—A Retrospective Analysis. Advances in Infectious Diseases, 12, 281-297.

https://doi.org/10.4236/aid.2022.122023

Received: April 27, 2022

Accepted: June 7, 2022

Published: June 10, 2022

Copyright © 2022 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).

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Abstract

Background: Central venous catheters (CVCs) are essential to current intensive care unit (ICU) practices as a tool for treating critically ill patients. However, the use of CVCs is associated with substantial risk of infection. Central line associated bloodstream infection (CLABSI) is increasing in prevalence each year and is among the major causes of bloodstream infection in ICU patients. Therefore, investigating the epidemiology and risk factors of CLABSI in ICU patients is important. Objective: This study aimed to investigate the incidence rates, causative pathogens and risk factors of CLABSI in an ICU population. Methods: A retrospective observational study was performed in an ICU at Qilu Hospital of Shandong University in China from January 2016 to December 2020. Patients with at least one CVC were enrolled, and information relevant to CVC use was recorded. The prevalence was calculated, and related risk factors were analyzed. Results: A total of 1920 catheters were identified, 507 of which were eligible for analysis. For each of the years 2016-2020, the incidence rates of CLABSI were 1.91, 3.18, 1.69, 2.97 and 1.27 per 1000 catheter days, respectively. The yeast Candida albicans was the most prevalent pathogen (16 [(3.2%]), followed by Gram-positive methicillin-resistant Staphylococcus aureus (11 [2.2%]) and the Gram-negative multidrug-resistant pathogen Acinetobacter baumanii. Risk factors associated with CLABSI development were age, (p = 0.05), Charlson comorbidity index > 5 (p < 0.01) and duration of CVC placement (p = 0.01). Conclusion: Candida albicans was the most common causative microorganism, which was followed by Gram positive methicillin resistant Staphylococcus, MDR K. pneumoniae and Acinetobacter baumanii.

Keywords Central Venous Catheter, Insertion Site, Bloodstream Infection, ICU, Catheter Days

Cedecea lapagei in a Patient with Multiple Injuries: Report of a Rare Case

Xiaofan Xu1*, Kaiyue Chang1*, Dongxue Song1*, Guangtong Tian2*,Xiaohang Hu3, Liqing Jiang3, Bin Zhang3, Qingli Bie3, Shuhua Lu3, Xiaozhe Li3, Haixin Dong3, Chengqiang Jin3#

1 School of Clinical Medicine, Jining Medical University, Jining, China

2 Department of Clinical Laboratory, Jining Hospital of traditional Chinese Medicine, Jining, China

3 Department of Clinical Laboratory, The Affiliated Hospital of Jining Medical University, Jining, China

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How to cite this paper: Xu, X.F., Chang, K.Y., Song, D.X., Tian, G.T., Hu, X.H.,Jiang, L.Q., Zhang, B., Bie, Q.L., Lu, S.H., Li, X.Z., Dong, H.X. and Jin, C.Q. (2021) Cedecea lapagei in a Patient with Multiple Injuries: Report of a Rare Case. Journal of Biosciences and Medicines, 9, 1-5.

Received: September 28, 2021

Accepted: October 26, 2021

Published: October 29, 2021

Copyright © 2021 by author(s) and Scientific Research Publishing Inc.

This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).

http://creativecommons.org/licenses/by/4.0/

https://doi.org/10.4236/jbm.2021.911001

Abstract

      Cedecea lapagei (C. lapagei) is an opportunistic pathogen in old patients with many comorbid diseases and the immunosuppressed. It is a gram-negative, facultative anaerobe bacterium of the Enterobacteriaceae family. We present a rare case of a patient with multiple injuries, C. lapagei was found from the exudate of the wound, what’s more, the Proteus vulgaris was also found in blood culture medium at the same time. According to the available literature, this is the first case of simultaneous infection of two bacteria including C. lapagei and Proteus vulgaris from the exudate of the traumatic wound.

Keywords:  C. lapagei, Cedecea, Proteus vulgaris, Exudate

一例骨科牵引床手术体位造成会阴III期 压疮患者的护理

焦闪云，范文娟，桑莉莉，王 静*

上海市杨浦区同济大学附属杨浦医院，上海

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收稿日期：2020年7月27日；录用日期：2020年8月7日；发布日期：2020年8月14日

文章引用: 焦闪云, 范文娟, 桑莉莉, 王静. 一例骨科牵引床手术体位造成会阴 III 期压疮患者的护理[J]. 护理学, 2020,9(4): 294-298. DOI: 10.12677/ns.2020.94046

摘 要

      股骨转子间骨折(IFF)即股骨粗隆间骨折，是指股骨颈基底至小转子水平以上部位所发生的骨折，是老年人常见的损伤之一。IFF多见于老年患者，其身体耐受能力相对较差，因此创伤小，操作简便，且固定可靠的内固定方式越来越受到临床重视。因而股骨近端防旋髓内钉(PFNA)作为近年来治疗股骨粗隆间骨折的微创内固定方式，越来越得到广泛应用。股骨骨折因周围肌肉发达，手法不易整复，整复后也不易维持对位，应用牵引床可以很容易地在C型臂X线机下通过调整牵引床装置达到良好的复位，并且在术中操作时始终保持良好的复位效果，不会发生体位的改变。所以牵引床已广泛应用于IFF复位内固定手术。但在牵引床的使用中体位的摆放不像其他常用手术简单，由于体位的放置过程较复杂，且手术对体位的要求特殊，实际操作中极易发生相关的护理问题。

关键词：牵引床，股骨骨折，会阴，压力性损伤，护理

Nursing Care of a Patient with Perineal Stage III Pressure Sore Caused by Orthopaedic Traction Bed

Shanyun Jiao, Wenjuan Fan, Lili Sang, Jing Wang*

Yangpu Hospital Affiliated to Tongji University, Yangpu District, Shanghai

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Received: Jul. 27th, 2020; accepted: Aug. 7th, 2020; published: Aug. 14th, 2020

Abstract

      Femoral intertrochanteric fracture (IFF), the intertrochanteric fracture, refers to the fracture of the femoral neck from the basal to the small trochanter level, which is one of the common injuries in the elderly. IFF is more common in elderly patients, and its physical tolerance is relatively poor, so the trauma is small, the operation is simple, and the fixed and reliable internal fixation is more and more clinical attention. Therefore, the proximal femoral nail (PFNA) has been widely used as a minimally invasive internal fixation for the treatment of intertrochanteric fractures in recent years. Due to the surrounding muscles, the femur fracture is not easy to repair, and it is not easy to maintain the alignment after the recovery. The traction bed can be easily adjusted by the adjustment of the traction bed device under the C-arm X-ray machine, and during the operation. Always maintain a good reset effect during operation, no position change will occur. Therefore, the traction bed has been widely used in IFF reduction and internal fixation surgery. However, the position of the traction bed is not as simple as other common operations. Because the placement process of the posture is complicated, and the requirements for the posture of the operation are special, the related nursing problems are easily caused in actual operation.

Keywords：Traction Table, Femoral Fracture, Perineum, Pressure Injury, Nursing

Copyright © 2020 by author(s) and Hans Publishers Inc.

This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).

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Acute Burns in Pregnancy

Ali Alrida Rahal1, Sinan Alboudi1, Israa Ali Haidar2 , Anwar Alhassanieh1

1 Department of Plastic Surgery, Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic

2 Obstetrics and Gynecology Department, Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic

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How to cite this paper: Rahal, A.A., Alboudi, S., Haidar, I.A. and Alhassanieh, A. (2020) Acute Burns in Pregnancy. Open Journal of Obstetrics and Gynecology, 10, 1702-1707. https://doi.org/10.4236/ojog.2020.10120154

Received: November 19, 2020

Accepted: December 18, 2020

Published: December 21, 2020

Copyright © 2020 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/

Abstract

Background: Acute burns injury in pregnant women is relatively rare especially in developed countries. There is a paucity of published data on the specific problems of burns in pregnancy, despite the high mortality for both the mother and the fetus. Aim: In this paper we will discuss all cases of acute burns in pregnant women admitted to the Burns Department in Al-Mouassat University Hospital in Damascus during the period between October 2017 and October 2019. Materials and Methods: A retrospective study of records over 2 years was conducted. The study included all pregnant burn injury women who were managed and followed up at the Burns Department in Al-Mouassat University Hospital. Patients were classified according to gestational age , burn characteristics, and maternal and fetal outcome. Results: Eleven patients were included , with mean age of 22.5 years (range 16 - 37 years). Of the 11 pregnant patients, 4 (36%) were in the first trimester, 3 in the second trimester (27%), and 4 in the third trimester (36%). The mean percentage of total body surface area (TBSA) burned was 40.9% (range: 17% -76%). Maternal death occurred in 2 of the cases (18%) and fetal death in 7 (63.6%). Conclusion: Maternal mortality is correlated to the percentage of the total burned area and inhalation injury. Burns in pregnant women have a profound effect on the fetal wellbeing, with a high rate of mortality especially in the first trimester.

Keywords: Acute Burns, Pregnancy, Mortality