It is important to know what is normal in the wound healing process in order to determine what happens when a wound does not heal as expected. If the amount of bacteria in the wound gets too large the body will not be able to defend itself and it becomes an infection. Colonization and infection are common elements in wound management and it is often the veterinary nurse role to deal with wounds in a proper manner. Antibiotics are drugs that either kill or inhibit the multiplication of bacteria or fungi, and have been in veterinary medicine for approximately 60 years. Very few new antibiotics are introduced and increased resistance is a major problem that requires everyone to take responsibility to reduce the use of it.

As reptiles are becoming more common as patients in veterinary clinics, there is a need for creating new procedures regarding the care of exotic pets. The aim of this study was to develop a wound care routine adapted to reptiles, which can be used independently by a veterinary nurse due to the absence of prescription drugs or surgical techniques. The study was conducted by compiling the available research regarding wound care in reptiles, as well as research from related fields. The result indicates that polyurethane films and chlorhexidine-alcohol may advantageously be used on these patients. Hydrocolloid dressings and silver sulfadiazine dressings have adverse effects on wound healing and should not be used routinely in reptiles.

Bovine milk is an excellent source of bioactive peptides. The bioactive peptides are in an inactive state in the protein and are released during enzymatic activity, e.g. during cheese ripening. Specific properties of bioactive peptides from ripened cheese has been reported, e.g. antihypertensive, antioxidative, antimicrobial, immunomodulatory and mineral binding.

Background: Vacuum assisted closure, VAC, is a method which can benefit wound closure. There are not many reliable studies about the effects of VAC in different types of wounds. Previous studies have shown that patients have experienced pain during dressing changes.Aim: The aim of the study was to survey in what kind of wounds the vascular surgery ward have been using VAC, to study the treatment process of VAC and how it has been documented and also to investigate if patients with VAC experienced pain during dressing changes.Method: The patients were chosen from a ledger, which contained 77 patients that had been treated with VAC on the vascular surgery ward. Data were collected with a journal survey protocol.Results: The result is based on 67 patients with a total of 79 wounds. VAC was shown to have a good effect on wound healing and infected surgical wounds were the most commonly wound category undergoing treatment with VAC.

Traumatiska sårskador är vanligt förekommande hos hästar och kunskapen om sårläkningens mekanismer har blivit mycket större under de senaste 15 åren. Vad gäller bandagematerial så säljs det nuförtiden många olika bioaktiva kompresser som syftar till att underlätta läkningsförloppet men tyvärr finns inte mycket forskning avseende hur väl dessa kompresser fungerar på sårskador på hästars extremiteter. I denna studie jämfördes fyra stycken bioaktiva kompresser: kalciumalginat, manukahonung, polyhexametylen biguandin (PHMB) och Sorbact. Totalt behandlades 15 traumatiskt uppkomna sår i fältmiljö. Samarbetande distriktsveterinärer inledde behandlingen av sårskadan med en bioaktiv kompress enligt ett randomiserat protokoll.

Syftet med studien är att genom en litteratursammanställning undersöka evidensen för olika förbandsmaterial vid behandling av sår. Kostnaden för behandling av sårrelaterade åkommor uppgår till flera miljarder kronor för Landstingen i Sverige varje år. Målet för sårbehandling ska vara att minska det individuella lidandet, främja en god hälsa och underlätta det dagliga livet, det är därför viktigt att rätt förband används till rätt typ av sår. Studien undersöker även hur Landstinget i Uppsala län har beställt olika typer av förband. Resultatet visar att det finns för lite underlag för att kunna dra konkreta slutsatser huruvida en viss förbandstyp ska användas för en viss typ av sår.

Clinicians in veterinary practice have responsibilities for the development of global antibiotic resistance. In some cases, antibiotics are contraindicated or even useless in wound treatments and therefore other options are needed. Antiseptics may be another option but their use are controversial and may be questioned by owners. As professionals, it may be very difficult to be able to motivate this choice of treatment. The aim of this paper is to gain knowledge about four antiseptics; iodine, silver, polyhexamethylene biguanide (PHMB) and honey to make it easier for veterinary nurses and other clinicians in veterinary practices to decide their potential use. The assessment will be made with consideration of the available evidence concerning the properties, usability and the animal?s experience. The results showed a lack of evidence in in-vivo studies in horses, particularly studies within the field of veterinary nursing.

Wound care of the horse?s distal part of the leg is challenging. Due to that distal limb wounds are easily enlarged, infected and generally heal slower than wounds on the body of the horse, the need for improved wound nursing arise. One way of improving wound nursing is to evaluate new ways of healing treatment. In this study, evaluation was made of a new product consisting of lactic acid bacteria and honey.

Regardless of what discipline nurses work in, wound care is one of the tasks. Caring for wounds involves early detection of signs of infection, in order to avoid complication. Wound infection extends suffering for the patient and causes unnecessary costs for society. The aim was to describe how nurses can identify infection in wounds. Method: The design of the study was a literature review, where13 scientific articles were examined and analyzed.

Regardless of what discipline nurses work in, wound care is one of the tasks. Caring for wounds involves early detection of signs of infection, in order to avoid complication. Wound infection extends suffering for the patient and causes unnecessary costs for society. The aim was to describe how nurses can identify infection in wounds. Method: The design of the study was a literature review, where13 scientific articles were examined and analyzed.

The purpose of this study was to investigate the presence of arterial insufficiency in patients undergoing CABG surgery and whether arterial insufficiency is a risk factor for postoperative wound infections in the harvesting leg. Patients who had CABG surgery were enrolled consecutively. A total of 144 patients participated in the study. During their hospital stay demographic data was recorded, as well as pre-, intra-, and postoperative tests and risk factors. The patients answered a questionnaire regarding postoperative wound infections 30 days after surgery patients answered a questionnaire regarding infections.

Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..

Syftet med denna litteraturstudie var att undersöka om nutritionstillskott, tryckavlastning och typ av förband har någon påvisad effekt på läkningen av trycksår. Litteraturstudien grundar sig på Goodmans systematiska tillvägagångssätt. Litteratursökningen gjordes i CINAHL, PubMed och The Cochrane Library samt att artiklar som inte var tillgängliga i fulltext via någon av databaserna söktes via Samsök. Granskning och kvalitetsbedömning av artiklarna gjordes individuellt utav författarna oberoende av varandra utefter ett modifierat granskningsprotokoll. Elva artiklar av varierande kvalitet inkluderades i litteraturstudien.

Background: Poor perineal wound healing and infections after proctectomy surgery, affect a significant proportion of physical and psychological morbidities such as pain, leakage and abscesses. In its lengthening some of these symptoms will lead to extended periods of hospitalization. These kind of postoperative complications are also associated with delays in eventual chemotherapy treatment Aim: To describe the patients experiences of postoperative wound infection as well as communication and self-care support from the nurse specialist after proctectomy due to rectal cancer. Method: A qualitative content analysis was carried out from interviews. Results: Four main categories emerged; ?Coping with postoperative complications?, ?be independent?, ?feel safe?, and ?accept the situation?.

Wounds on horses are common and sometimes difficult to treat. The wounds are often big and could be discovered too late for primary sutures, which have to be applied within 8 hours from time of accident, before bacteria has been able to infiltrate the surrounding tissue. The healing is often complicated by delayed healing and wound infection with consequences like phlegmone, fistulation and proud flesh formation.To avoid these consequences, the traditional practice has been to administer systemic antibiotics alone, systemic antibiotics in combination with topical antibiotics or topical antibiotics alone. Because few antibiotics can be used in horses, is it important to household with the few substances that are available. In veterinary medicine today, the increasing resistance amongst pathogenic microbes such as MRSA presents a growing problem.