ABSTRACT
Objective To explore the treatment of chronic infective wounds .Methods A retrospective analysis of clinical data in 225 patients were admitted from 2000 to 2010 .Results (1) They were mainly traumatic ulcers ,pressure ulcers ,postoperative ul-cers ,diabetes ulcers ,vascular ulcers in the group ,accounted for 80 .4% (181/225) .(2) Bacterial culture positive rate was 87 .1%(196/225) ,a total of 46 kinds with 342 pathogens were cultured ,gram-positive bacteria 40 .6% (139/342);gram-negative bacteria 57 .6% (197/342);Fungi 1 .8% (6/342) .The main pathogens were S .aureus(52) ,E .coli(43) ,P .aeruginosa(44) ,Klebsiella .SPP (27) ,which were highly resistant to penicillin ,erythromycin ,ampicillin ,gentamicin ,cotrimoxazole and the multidrug resistance rate was 37 .1% (127/342) .Chronic wounds and multidrug resistant bacteria showed rapidly increasing trend from 2007 .(3) 201 pa-tients with topical antibiotic treatment ,208 patients(49 patiens underwent re-operation)underwent operations to close wounds ;213 patiens were recovery ,12 patiens had to leave hospital because economic burden .Conclusion Chronic infective wounds were affect-ed by many factors .emphasizing on debriding ,reasonablechoice ,circulative ,alternate use of antibiotics and wound bed preparation , appling surgery to close wounds in early stage could effectively control wound infection and promote wound healing .
ABSTRACT
Decolorization of reactive brilliant blue KN-R by Aspergillus ficuum was investigated on suspended spores, mycelial pellets, immobilized cells. It was found that Aspergillus ficuum could effectively decolorize reactive brilliant blue KN-R especially when grown as pelleted mycelia. Many factors affecting the decolorization process in nitrogen-limited media (NLM) were studied, including: initial pH, temperature, and mycelial age. Results showed that the media containing reactive brilliant blue KN-R at 50 mg/L could be decolorized by 96% of the initial color in 42 h, in most conditions tested, the dye degraded products assayed by UV-visible spectrophotometer and macroscopic observation showed that the decolorization of reactive brilliant blue KN-R by mycelial pellets includes two important processes: biodegradation and biosorption. Kinetic study revealed that reactive brilliant KN-R biodegradation by mycelial pellets and suspended spores conformed to first-order reaction model while reactive brilliant blue KN-R biodegradation by immobilized cell followed zero-order model. In addition, mycelial pellets was found to biodegrade KN-R more quickly than suspended spores and immobilized cell.