This trial is evaluating whether Enhanced Education will improve 1 primary outcome and 2 secondary outcomes in patients with Wound Infection. Measurement will happen over the course of 6 months.
This trial requires 300 total participants across 2 different treatment groups
This trial involves 2 different treatments. Enhanced Education is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
Effective wound treatment should include a combination of adequate skin coverage, moisture, and infection control. Treatment for wound infection may include debridement, antibiotics, or both. The choice of antibiotic depends on both the location of infected tissue and infection type; it should always be broad-spectrum (including antibiotics that cover MRSA); it should be given for a sufficient amount of time (generally a minimum 7 days), to cover the infection; it should be given on a daily basis, as a single dose of antibiotic usually does not cover for all three phases of wound infection.
The rate of wound infection is low in this cohort of patients with chronic wounds, possibly owing to the use of prophylactic antibiotics and the meticulous wound care practices.
Wound infections of moderate or severe severity are associated with poor clinical outcomes, particularly in pediatric burn patients, and are often recalcitrant to treatment. An aggressive approach to antimicrobial usage is needed to improve the clinical outcomes in these patients.
Approximately 9.7 million people get wound infection a year in the Unites States of which half (5.4 million) were admitted to a hospital for at least 1 day. The major cause to this high burden of wound infection is surgical procedures.
Results from a recent paper has shown that even a relatively small wound inoculum of the organism in question may cause systemic dissemination of the organism if left untreated. It therefore seems that wound infection may be a curable condition that can be cured.
The signs of the infection vary in severity and may be related to the location of the infection on the body, the time that the wound is present on the body and the severity of the infection. \nSome examples of the signs and symptoms of wound infection include the following:\n\nWound infection can be treated with antibiotics. The wound can be cleaned with a damp dressing and kept clean with wound care products.\n\nWhen cleaning a wound, it is important to make sure it is clean and ready to heal. It is recommended that the wound stay dry by not allowing the wound to get wet. When it is dry, it will be more effective in healing faster.
The implementation of an ED-based wound care intervention increases wound rate documentation, wound care behaviors, and overall patient rate of achieving the goal of 100% dressing changes. While the goal of achieving 100% dress changes for a wound has not yet, overall, been reached. It likely has not been achieved at our institution as we have only had ED patients at the time. This data support our use of ED as a method to educate and change patient behavior. This approach may help reduce healthcare resource utilization while achieving the same goal of a clean, dry, healthy wound as we have achieved previously with the standard ED protocol.
In contrast to wound infection in general population, where women have a higher risk, paternal and siblings' risk for wound infection was found to be significantly higher than in the general population, indicating the possible link between WIS and paternal or siblings' gene inheritance. Interestingly, wound infection in first degree relatives was significantly higher than in the general population.
An enhanced education program can significantly improve health literacy; thus, it had a positive impact on health awareness and patient knowledge of common common wound care guidelines, including wound dressings.
It appears that for the first time in the last 60 years, there has been a breakthrough in wound infection therapy. The use of silver in wound dressing has been approved in the UK. Wound dressing with antimicrobial silver is now being sold in countries all over the globe, including the US, Canada, Germany. The use of silver-free wound dressing is slowly becoming more popular. Power helps you choose the perfect wound dressing for your wound, because many different types are available. In addition to the wound dressing there are many other antimicrobial products available.
Enhanced education may lead to improved wound healing without having any significant effect on reducing postoperative infection, which is the main worry of many patients undergoing laparoscopic procedures.
No difference was found between the groups, and the main conclusion was that there is not an increase of side effects when a patient is told about possible side effects when using medicines. In our experience, the patient accepts the information better when given in a simple, non-directive manner with clear explanations about what, why and when to check. In both groups the most common side effect was headache which was transient only.