Search

The term perioperative antibiotic prophylaxis stands for a short-term, usually one-off administration of an antibiotic shortly before, at the beginning or at the latest during the operative procedure. A perioperative antibiotic prophylaxis should always be given in the surgical treatment of a patient with abdominal trauma. The optimal time of administration is 30-60 min before incision. For interventions lasting more than 2 h, a repeated dose should be given depending on the half-life of the substance being used. An extension of the antibiotic prophylaxis beyond 24 h does not reduce the postoperative infection rate and should only be continued in the sense of a therapy in the case of a surgically uncleansed infection focus. [ABSTRACT FROM AUTHOR]

The need for treatment of chronic and infected wounds has increased during recent years due to demographic changes and the increasing number of patients with severe comorbidities. An increasingly larger selection of treatment options as well as wound dressings for the treatment of acute and chronic wounds have become available in recent years. Due to the diversity of increasingly specialized bandages and wound dressings, a standardized, phase-adapted treatment of acute, chronic and infected wounds is useful and recommended. The comprehensive treatment of problematic wounds should also include treatment of any comorbidities present as well as the elimination of noxious agents that may compromise wound healing. For these reasons, treatment of complicated wounds should be interdisciplinary and in close cooperation with the nursing staff. This article presents excerpts from our phase-adapted wound treatment concepts of the 'Wound Compendium Boberg', by which we are able to maintain a standardized and high quality treatment for problematic wounds. [ABSTRACT FROM AUTHOR]

The treatment of wounds is a challenge that caregivers of all specialities encounter daily in the care of an ageing population and chronically ill patients. An interdisciplinary group has been created in recent years within the Hospices-CHUV to assist caregivers in their care of patients with wounds. This group has developed a variety of tools to assist decision-making and offers a range of continuing education for those employees involved in wound care. The authors describe the approach of the group and the documents produced during the first two years of experience. [ABSTRACT FROM AUTHOR]