Wytyczne postępowania miejscowego i ogólnego w ranach objętych procesem infekcji


Expert working group:
Arkadiusz Jawień | Marzenna Bartoszewicz | Anna Przondo-Mordarska | Maria T. Szewczyk | Andrzej Kaszuba | Tomasz Urbanek | Walerian Staszkiewicz | Maciej Sopata | Marek Kucharzewski | Anna Korzon-Burakowska | Grzegorz Krasowski | Mariusz Kózka | Jerzy Sikorski | Adam Junka

1 Prof. Arkadiusz Jawień, MD, PhD, Department of Vascular Surgery and Angiology, University Hospital A. Jurasz, Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, Poland

2 Dr. Marzenna Bartoszewicz, MD, PhD, Department of Microbiology, Medical University in Wroclaw, Poland

3 Prof. Anna Przondo-Mordarska, MD, PhD, Department of Microbiology, Medical University in Wroclaw, Poland

4 Adam Junka, M. Sc, Department of Microbiology, Medical University in Wroclaw, Poland

5 Prof. Maria T. Szewczyk, MD, PhD, Department of Vascular Surgery and Angiology, University Hospital A. Jurasz in Bydgoszcz, Surgical Nursing Facility, Collegium Medicum in Bydgoszcz Nicolaus Copernicus University in Torun, Poland

6 Prof. Andrzej Kaszuba, MD, PhD, Department of Dermatology, Pediatric Dermatology and Oncology, Medical University in Lodz, Poland

7 Dr. Tomasz Urbanek, MD, PhD, Department of General and Vascular Surgery, Medical University of Silesia in Katowice, Poland

8 Prof. Walerian Staszkiewicz, MD, PhD, Department of Vascular Surgery and Angiology, The Medical Centre of Postgraduate Education in Warsaw, Poland

9 Dr. Maciej Sopata, MD, PhD, Department of Palliative Medicine, Medical University in Poznan, Poland

10 Dr. Marek Kucharzewski, MD, PhD, Department of Descriptive and Topographic Anatomy, Silesian Medical University in Zabrze, Poland

11 Dr. Anna Korzon-Burakowska, MD, PhD, Department of Hypertension and Diabetology, Medical University in Gdansk, Poland

12 Dr. Grzegorz Krasowski, MD, PhD, Centre for Health Krapkowice in Krapkowice, Poland

13 Dr. Mariusz Kozka, MD, PhD, Department of General Surgery, Division of Vascular Surgery, 5th Military Hospital in Krakow, Poland

14 Dr. Jerzy Sikorski, MD, PhD, Department of Traumatic Surgery, Burns and Plastic Surgery, Medical University in Poznan, Poland

Leczenie Ran 2012;9(3):77–91

Introduction: Wound infections are ongoing challenge for wound care professionals and significant economical problem for health-care systems. In developed and industrialized communities, almost 1−1.5% of general population and 3% of population older than 60 years old, will develop chronic wound problem . The presence of microorganisms in the open wounds is natural phenomenon, which does not lead to delayed wound healing. However, if bacteria-host interaction changes into infection, the wound state deteriorates. In extreme cases, inappropriately treated local infection can develop into systemic infection and cause serious clinical consequences, including death of patient. Early recognition of infection, together with appropriate and effective intervention is important not only for patient. It allows to reduce costs of treatment, especially in the era of antibiotic resistance. Increasing antibiotic resistance, observed in the recent years, prompted scientists and clinicians to reconsider use of the local antimicrobials in the chronic wound management. In the presented document, problems concerning use of local antimicrobials, being a challenges for wound care professionals, are considered. Presented document contains guidelines that allow an appropriate choice in the clinical situations.


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