Chronic Nonhealing Ulcers ‒ Garhwal Region (Etiopathology, Microbiology with Susceptibility, Managements & Outcomes)

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dc.contributor.authorKeshri, Amiten_US
dc.contributor.authorBhatt, Mukul P.en_US
dc.contributor.authorKumar, Santoshen_US
dc.contributor.authorPunita, K.en_US
dc.date.accessioned2020-10-16T08:44:56Z
dc.date.available2020-10-16T08:44:56Z
dc.date.issued2020-06
dc.description.abstractIntroduction:Chronic nonhealing ulcers, with varied etio-pathologies, are difficult to manage and warrant meticulous, early and prolonged directed treatment to prevent their development and complications.Methods:Patients of chronic ulcers (>3 months’ duration), having undergone surgical management at our Institute, VCSGGMS&RI-UT, between January 2018 –August 2019, numbering one hundred twenty five (N= 125), were included in this concurrent observational study, aimed at identifying implicated microrganism(s) and their antibiotic susceptibility, for promoting wound healing, along with surgical measures Results:Male patients (M:F :: 87:38; 69.6% males) in the “20-50 year” age-group (74; 59.2%), with diabetic ulcers (35;28.0%), burns etc. (21;16.8%) and traumatic ulcers (18;14.4%) etc. predominated in the chronic non-healing state. Gram positive (68; 54.4%) organisms (including Staphylococcus) were the major isolates from the ulcers; organisms showing higher sensitivity to the newer generations/groups of antibiotics. Uncontrolled Diabetes, other prolonged illnesses &/or under-nutrition were important causative factors, requiring their remediations and also debridements ± skin/flap coverage (45; 36.0%) with prolonged course of antibiotics and occasional amputations (18; 14.4%) for adequate treatment.Conclusion:Skilled intensive multidisciplinary effort is essential to achieve satisfactory healing and prevent disfigurement and to limit disability and death (11; 8.8%) among the patients.en_US
dc.identifier.affiliationsDepartment of General Surgery, Veer Chandra Singh Garhwali Government Institute of Medical Science and Research Srinagar, HNB Base Hospital, Srikot, Srinagar, Uttarakhand, 246178,Indiaen_US
dc.identifier.affiliationsDepartment of Pathology, Tata Motors Hospital, Jamshedpur, JH, Indiaen_US
dc.identifier.affiliationsDPD&OCC,Bareilly-243006, UP, Indiaen_US
dc.identifier.citationKeshri Amit, Bhatt Mukul P., Kumar Santosh, Punita K.. Chronic Nonhealing Ulcers ‒ Garhwal Region (Etiopathology, Microbiology with Susceptibility, Managements & Outcomes). International Journal of TROPICAL DISEASE & Health. 2020 Jun; 41(5): 53-64en_US
dc.identifier.issn2278–1005
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/209658
dc.languageenen_US
dc.publisherSCIENCEDOMAIN internationalen_US
dc.relation.issuenumber5en_US
dc.relation.volume41en_US
dc.source.urihttps://dx.doi.org//10.9734/IJTDH/2020/v41i530278en_US
dc.subjectAntibiotic sensitivityen_US
dc.subjectbacterial profileen_US
dc.subjectchronic wounden_US
dc.subjectdiabetic ulceren_US
dc.subjectnonhealing ulcersen_US
dc.titleChronic Nonhealing Ulcers ‒ Garhwal Region (Etiopathology, Microbiology with Susceptibility, Managements & Outcomes)en_US
dc.typeJournal Articleen_US
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