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Reviewing cases where infectious disease specialists are not treating obvious symptoms of soft tissue infections from hospital or nursing home acquired bedsores If the wound will not be closed, we find no clear evidence supporting a role for antibiotic therapy” … Dr. Darren Wong, USC, Division of Infectious Disease in Clinical Infectious Disease, 2019:68. [...]
Heel pressure ulcers' healing challenges and prognostic factors In a heel ulcer population, having a severe rather than a superficial ulcer… is associated with half the chance of healing over time… The presence of peripheral artery disease also significantly reduces the chance of healing over time” … Dr. Elizabeth McGinnis, Leeds Teaching Hospitals NHS [...]
Optimal repositioning frequencies from human studies for decubitus ulcer prevention. Greg Vigna, MD, JD, national decubitus ulcer attorney explains, “The principles of decubitus ulcer prevention were described by Dr. Michael Kosiak in 1961 and his opinions have stood the test of time.” What did Dr. Kosiak say? “Since it is impossible to completely eliminate all [...]
Evaluating hospital-acquired and nursing home-acquired decubitus ulcers and the care offered at LTACs “The outcomes of conservative wound care for deep Stage 3 or Stage 4 pressure ulcers ischial decubitus ulcers are poor. There is little justification for admission to a Long-term Acute Care Hospitalization at a facility that doesn’t offer myocutaneous flaps” … Greg [...]
Evaluating hospital-acquired and nursing home-acquired decubitus ulcers and the care offered at LTACs. “The outcomes of conservative wound care for deep Stage 3 or Stage 4 pressure ulcers ischial decubitus ulcers are poor. There is little justification for admission to a Long-term Acute Care Hospitalization at a facility that doesn’t offer myocutaneous flaps” … Greg [...]
Evaluating ineffective care provided at LTACs that is destined to fail for those with Stage 4 decubitus ulcers. “There is no reliable evidence in the literature that patients with Grade 4 decubitus ulcer of the sacral region with an associated bone infection who are treated with conservative wound care without flap closure go on [...]
Evaluating hospital-acquired and nursing home-acquired decubitus ulcers and the care offered at Long-Term Acute Care Hospitals. “We describe treatments and outcomes of hospitalized patients with decubitus ulcer-related osteomyelitis who did not undergo surgical reconstruction or coverage … 44% patients were readmitted due to complications from osteomyelitis, and 17% died” … Laura Damioli, MD. Therapeutic [...]
Poor outcomes for decubitus-related osteomyelitis patients without myocutaneous flapping. “Among patients with decubitus-related osteomyelitis who did not undergo myocutaneous flapping, outcomes were generally poor regardless of treatment, and not significantly improved with prolonged antibiotics.”… Laura Damioli, MD. Therapeutic Advance in Infectious Disease. Volume 10, pg. 1-9. 2023. Greg Vigna, MD, JD, national decubitus ulcer [...]
The study describes treatments & outcomes of hospitalized patients with decubitus ulcer-related osteomyelitis who did not undergo surgical reconstruction. We describe treatments and outcomes of hospitalized patients with decubitus ulcer-related osteomyelitis who did not undergo surgical reconstruction or coverage. 44% patients were readmitted due to complications from osteomyelitis, and 17% died,” Laura Damioli, MD. Therapeutic [...]
“Despite Hospital Acquired Stage 3 and Stage 4 decubitus ulcers being considered a Never Event by the CMS, the treatment for those injured by hospitals is based on local care pathways, local surgical expertise, patient and health professional preferences and cost,” states JKF Wong, Cochrane Library, Reconstructive surgery for treating pressure ulcers. Greg Vigna, [...]