Local treatment for wounds and wound infection according to the results of an anonymous survey of surgeons in Russia
https://doi.org/10.17650/2408-9613-2016-3-1-19-24
Abstract
Objective: to clarify surgeons’ preferences for local drugs and additional treatments for wounds and wound infection.
Materials and methods. An anonymous survey was conducted in 232 surgical infection specialists.
Results. An analysis of questionnaires revealed surgeons’ preferences for the classification of wound process stages, for the choice of antiseptic solutions, and for that of agents for the local treatment of wound in each of its phases and for additional instrumental and drug therapies. The surgeons reported 46 different drugs for the treatment of wounds and wound infection. A significant percentage of the respondents practised chlorhexidine, dioxidine, iodine, Levomecol, Solcoseryl, and Actovegin ointments, wound physiotherapy, and vascular medications.
Conclusion. The survey has revealed a relative shortage of knowledge about current antiseptics and local combined drugs, the high level of prescription of ineffective local antimicrobial agents, the use of a number of drugs in the wound process phase when they exert no optimal effect, as well as the high frequency of prescribing instrumental and drug treatments for wounds. An attempt has been made to analyze the surgeons’ choice and to define ways to improve the treatment of wounds and wound infection.
About the Authors
V. V. Privol’nev
Smolensk State Medical University, Ministry of Health of Russia
Russian Federation
28 Krupskoy St., Smolensk, 214019
Russian Federation
28 Krupskoy St., Smolensk, 214019
Yu. S. Paskhalova
A.V. Vishnevskiy Institute of Surgery, Ministry of Health of Russia;
Russian Peoples Friendship University, Ministry of Education and Science of Russia
Russian Federation
Russian Federation
27 Bol’shaya Serpukhovskaya St., Moscow, 117997;
8 Miklukho-Maklaya St., Moscow, 117198A. V. Rodin
Smolensk State Medical University, Ministry of Health of Russia
Russian Federation
28 Krupskoy St., Smolensk, 214019
Russian Federation
28 Krupskoy St., Smolensk, 214019
V. A. Mitish
A.V. Vishnevskiy Institute of Surgery, Ministry of Health of Russia;
Russian Peoples Friendship University, Ministry of Education and Science of Russia;
Research Institute of Emergency Pediatric Surgery and Traumatology, Moscow Healthcare Department
Russian Federation
Russian Federation
27 Bol’shaya Serpukhovskaya St., Moscow, 117997;
8 Miklukho-Maklaya St., Moscow, 117198 ;
22 Bol’shaya Polyanka St., Moscow, 119180
References
1. Блатун Л.А. Местное медикаментозное лечение ран. Проблемы и новые возможности их лечения. Consilium Medicum. Хирургия 2007;9(1):11–4. [Blatun L.А. Local medication of wounds. Problems and new opportunities of its treatment. Consilium Medicum. Khirurgiya = Consilium Medicum. Surgery 2007;9(1):11–4. (In Russ.)].
2. Даценко Б.М. Теория и практика местного лечения гнойных ран. Киев: Здорав’я, 1995. 383 с. [Datsenko B.М. Тheory and practice of the local treatment of septic wounds. Kiev: Zdorav’ya, 1995. 383 p. (In Russ.)].
3. СтручковВ.И., ГостищевВ.К., СтручковВ.Ю. Хирургическая инфекция: руководство для врачей. М.: Медицина, 1991. 560 с. [Struchkov V.I., Gostishchev V.K., Struchkov V.Yu. Surgical infection: guidelines for physicians. Мoscow: Меditsina, 1991. 560 p. (In Russ.)].
4. Хачатрян Н.Н., Дизенгоф И.М., СмирновГ.Г. и др. Особенности антибактериальной терапии хирургических инфекций кожи и мягких тканей. Consilium Medicum. Хирургия 2011;13(4):76–81. [Hachatryan N.N., Dizengof I.М., Smirnov G.G. et al. Peculiarities of the antibacterial therapy of skin and soft tissues’ infections. Consilium Medicum. Khirurgiya = Consilium Medicum. Surgery 2011;13(4):76–81. (In Russ.)].
5. Французов В.Н., Ефименко Н.А., Шестопалов А.Е. и др. Интенсивная терапия тяжелых форм анаэробной неклостридиальной инфекции мягких тканей. Хирургия. Журнал им. Н.И. Пирогова 1999;(10):21–3. [Frantsuzov V.N., Еfimenkо N.А., Shestopalov А.Е. et al. Intensive therapy of heavy forms of anaerobic non-clostridial infection of soft tissues. Khirurgiya. Zhurnal im. N.I. Pirogova = Surgery. N.I. Pirogov Journal 1999;(10):21–3. (In Russ.)].
6. МихальскийВ.В., ГорюновС.В., БогдановА.Е. и др. Применение препарата «Бетадин» в лечении инфицированных ран. Русский медицинский журнал. Хирургия. Урология 2010;18(29):1780–8. [Мikhal’skiy V.V., Goryunov S.V., Bogdanov А.Е. et al. Application of Betadine substance for the treatment of infected wounds. Russkiy meditsinskiy zhurnal. Khirurgiya. Urologiya = Russian Medical Journal. Surgery. Urology 2010;18(29):1780–8. (In Russ.)].
7. Pulgar S., Mehra M., Quintana A. et al. The epidemiology of hospitalized cases of skin and soft tissue infection in Europe. 18th European Congress of Clinical Microbiology and Infectious Diseases. Spain, 2008. P. 821.
8. Kozlov R.S., Krechikova O.I., Ivanchik N.V. et al. Etiology of nosocomial bacterial infections in Russia. 48th Annual Interscience Conference on Antimicrobial Agents and Chemotherapy. Washington, DC, 2008. Р. 572.
9. Krasner D. Wound care: how to use the redyellow-black system. Am J Nurs 1995;95(5): 44–7. PMID: 7733171.
10. Кузин М.И., Костючёнок Б.М. Раны и раневая инфекция. 2-е изд., перераб. и доп. М.: Медицина, 1990. 591 с. [Kuzin М.I., Kostyuchyonok B.М. Wounds and wound infection. 2nd revised and enlarged edn. Мoscow: Меditsina, 1990. 591 p. (In Russ.)]
Review
For citations:
Privol’nev V.V., Paskhalova Yu.S., Rodin A.V., Mitish V.A. Local treatment for wounds and wound infection according to the results of an anonymous survey of surgeons in Russia. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2016;3(1):19-24. (In Russ.) https://doi.org/10.17650/2408-9613-2016-3-1-19-24
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