Review of current concept in the management of pressure ulcers

Pressure ulcers are quite distressing, and they cut across all age groups. Aside from increasingmortality, it results in protracted hospital stay and an upsurge in the consumption of healthcare resourcesPressure ulcers are considered to be essentially preventable, but in order to prevent them it is important to identify the people most at risk and deliver timely preventative care. In case of severe acute respiratory distress syndrome (ARDS), as in coronavirus dis­ease 2019 (COVID-19) affected patients, prone position and invasive ventilation improve the clinical status of this group of patients. This form of therapy is associated with an increased risk of facial pressure ulcers. When pressure ulcer occurs, appropriate documentation of each ulcer and staging of the ulcer are essential for good wound assessment.Treatment involves, assessing the nutritional needs of the patient, management of infections, removal of necrotic tissue, maintenance of a moist environment for wound healing, and possibly surgery

A retrospective study of lower limb cellulitis in a regional hospital in Ghana

Background: Cellulitis is a non-necrotizing inflammation of the dermis of skin and subcutaneous tissues. Lower limb cellulitis is a common cause of hospitalization in Ghana but scarcely reported. Objective: To document management and outcomes of lower limb cellulitis at the Ashanti Regional Hospital in Ghana. Materials and Methods: Retrospective review of patients admitted to the Ashanti Regional Hospital with a diagnosis of lower limb cellulitis from November 2016 to October 2018. We reviewed patients' clinical records for data on patient demographics, risk factors, clinical presentation, treatment modality and outcome of cellulitis. A p-value of less than 0.05 was considered to be statistically significant. Results: Eighty two (82) patients with lower limb cellulitis were admitted over the study period. There were 47 (57.3%) females and 35 (42.7%) males. The mean age of patients was 38.8 years (standard deviation 21.6065). Among females, the majority, 10 (21.3%) were in the 6th decade whilst the majority, 9 (25.7%) of males were in the 4th decade. All the patients presented with swelling of the lower limb involving the left lower limb in 38(46.3%) and right in 44(53.7%) cases. The leg was the most common location involved 60 (73%). The mean duration of swelling prior to admission was 5. 2 days (SD 3.196). Antibiotics treatment resulted in complete resolution in 29 (35.4%) cases and complications in 53 (54.5%), cases requiring surgical treatment in 31(58.5%) patients. Conclusion: Lower limb cellulitis had a high complication rate influenced by duration of symptoms prior to hospitalization and antibiotic therapy

Maladie de Fournier : a propos de 36 cas traites dans le service d'Urologie du CHU de Treichville

Notre travail porte sur une etude retrospective (21 malades) et prospective (15 malades) soit un total de 36 cas de gangrene des organes genitaux externes hospitalises de Janvier1999 a Septembre 2004 dans le service d'urologie du Centre Hospitalier Universitaire de Treichville. Elle permet de retenir les resultats suivants : AU PLAN EPIDEMIOLOGIQUE: La frequence annuelle moyenne est de 6 patients par an. L'age moyen est de 47 ans. Cette affection sevit beaucoup plus chez les personnes economiquement faibles: 88;9pour cent des cas. Le diabete est la tare la plus frequemment associee 11;10pour cent. Malgre la rarete de cette affection; le taux de mortalite reste eleve dans notre serie; soit25pour cent des cas. AU PLAN DIAGNOSTIQUE:Le diagnostic est essentiellement clinique. La symptomatologie est dominee par le debut brutal; la fievre; la douleur; la tumefaction; la necrose cutanee et l'ecoulement fetide. La lesion siege le plus souvent au niveau scrotal uniquement: 47;22pour cent. AU PLAN THERAPEUTIQUE : C'est une urgence chirurgicale et le traitement a consiste a realiser un debridement des tissus necrotiques et devitalises. AU PLAN PRONOSTIQUE : Le retard diagnostic et de prise en charge therapeutique constituent les facteurs de mauvais pronostique qui expliquent le taux eleve de mortalite (25pour cent)