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      Effect of vacuum sealing drainage on healing time and inflammation‐related indicators in patients with soft tissue wounds

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          Abstract

          The aim of this study was to investigate the therapeutic effects of vacuum sealing drainage (VSD) on wound repair time and inflammation‐related indicators in patients with soft‐tissue wounds in comparison with traditional treatment. From January 2018 to January 2020, 130 enrolled patients with soft‐tissue wounds were randomly divided into two groups: VSD group (65 cases) and routine dressing change (RDC) group (65 cases). The inflammation‐related indicators including erythrocyte sedimentation rate (ESR), C‐reactive protein (CRP), white blood cell (WBC), and procalcitonin (PCT) of preoperative stage and postoperative day 3 (POD 3) and POD 7 were recorded. Wound healing was observed 3 and 7 days after treatment, and the clinical efficacy, changes in the wound (coverage rate and thickness of granulation tissue and bacterial clearance rate), wound‐cleaning time, wound‐healing time, and hospital stay time were recorded after treatment as well. No significant difference was observed in terms of the baseline between the two groups. On POD 3 and POD 7, CRP, WBC, and PCT levels in the VSD group were lower than those in the RDC group, while ESR levels were higher, with significant differences ( P < .05). After treatment, the wound‐cleaning time, wound‐healing time, and hospital length of stay of the VSD group were all lower than those of the RDC group, with significant differences ( P < .05). VSD has a significant effect on the treatment of patients with soft‐tissue wounds, which can effectively shorten the time of wound healing and reduce inflammation‐related indicators. Compared with traditional RDC, VSD is more worthy of clinical application.

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          Most cited references32

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          Closed incision negative pressure therapy: international multidisciplinary consensus recommendations

          Abstract Surgical site occurrences (SSOs) affect up to or over 25% of patients undergoing operative procedures, with the subset of surgical site infections (SSIs) being the most common. Commercially available closed incision negative pressure therapy (ciNPT) may offer surgeons an additional option to manage clean, closed surgical incisions. We conducted an extensive literature search for studies describing ciNPT use and assembled a diverse panel of experts to create consensus recommendations for when using ciNPT may be appropriate. A literature search of MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials using key words ‘prevention’, ‘negative pressure wound therapy (NPWT)’, ‘active incisional management’, ‘incisional vacuum therapy’, ‘incisional NPWT’, ‘incisional wound VAC’, ‘closed incisional NPWT’, ‘wound infection’, and ‘SSIs’ identified peer‐reviewed studies published from 2000 to 2015. During a multidisciplinary consensus meeting, the 12 experts reviewed the literature, presented their own ciNPT experiences, identified risk factors for SSOs and developed comprehensive consensus recommendations. A total of 100 publications satisfied the search requirements for ciNPT use. A majority presented data supporting ciNPT use. Numerous publications reported SSI risk factors, with the most common including obesity (body mass index ≥30 kg/m2); diabetes mellitus; tobacco use; or prolonged surgical time. We recommend that the surgeon assess the individual patient's risk factors and surgical risks. Surgeons should consider using ciNPT for patients at high risk for developing SSOs or who are undergoing a high‐risk procedure or a procedure that would have highly morbid consequences if an SSI occurred.
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            Comparison of WBC, ESR, CRP and PCT serum levels in septic and non-septic burn cases.

            Diagnosis of sepsis is difficult, particularly in cases of burn where signs of sepsis may be present in the absence of a real infection. This study compared serum levels of procalcitonin (PCT), C-reactive protein (CRP), erythrocyte sedimentation rate (ESR) and white blood cell (WBC) among 60 burned people with and without infection, in order to assess the value of the information for diagnosis of sepsis. A significantly higher PCT level was observed in the septic group compared to those without sepsis (8.45+/-7.8 vs. 0.5+/-1.0, respectively, p<0.001); no significant differences were found in CRP or WBC levels, neutrophil count or ESR. The area under the receiver operating characteristics curve in the diagnosis of sepsis was 0.97 for PCT (p<0.001) with sensitivity of 100% and specificity of 89.3%. Non-survivors had a mean PCT level significantly higher than that of survivors. Thus the serum PCT level was a highly efficient laboratory parameter for the diagnosis of severe infectious complications after burn, but WBC, neutrophil, ESR and CRP levels were of little value.
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              Comparison between white blood cell count, procalcitonin and C reactive protein as diagnostic and prognostic biomarkers of infection or sepsis in patients presenting to emergency department.

              Procalcitonin (PCT) is currently the most studied infection biomarker and its blood levels seem to mirror the severity of illness and outcome. PCT is widely used together with other biomarkers, such as white blood cells (WBC) count and C reactive protein (CRP), in order to guide antibiotic therapy. This study aimed to verify the diagnostic and prognostic power of WBC, CRP and PCT in patients with suspected infection in emergency department (ED).
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                Author and article information

                Contributors
                ehkrap@163.com
                345748335@qq.com
                Journal
                Int Wound J
                Int Wound J
                10.1111/(ISSN)1742-481X
                IWJ
                International Wound Journal
                Blackwell Publishing Ltd (Oxford, UK )
                1742-4801
                1742-481X
                30 March 2021
                October 2021
                : 18
                : 5 ( doiID: 10.1111/iwj.v18.5 )
                : 639-646
                Affiliations
                [ 1 ] Department of Burn and Plastic Surgery The First Hospital of Hebei Medical University Shijiazhuang Hebei China
                Author notes
                [*] [* ] Correspondence

                Liqing Ren, Department of Burn and Plastic Surgery, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhang, 050089, China.

                Email: 345748335@ 123456qq.com

                Article
                IWJ13565
                10.1111/iwj.13565
                8450791
                33786980
                3cc0ec2e-67f4-475d-a1e7-49314d132096
                © 2021 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 25 January 2021
                : 04 January 2021
                : 31 January 2021
                Page count
                Figures: 0, Tables: 5, Pages: 8, Words: 4684
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                October 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.7 mode:remove_FC converted:20.09.2021

                Emergency medicine & Trauma
                vacuum sealing drainage,soft‐tissue wound,healing time,inflammation‐related indicators,effect

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