Wound Care

May 1, 2021 Issue
Foot Lesions in a Rehabilitation Facility Resident [Photo Quiz]

A patient in a rehabilitation facility presented with gluteal skin ulcers and dark purple foot lesions.

Feb 1, 2020 Issue
Chronic Wounds: Evaluation and Management [Article]

Chronic wounds are common and are often incorrectly treated. Common lower extremity wounds include arterial, diabetic, pressure, and venous ulcers. The mainstay of treatment is the TIME principle: tissue debridement, infection control, moisture balance, and edges of the wound. After these general measures have been addressed, treatment is specific to the ulcer type.

Sep 1, 2019 Issue
Venous Ulcers: Diagnosis and Treatment [Article]

Venous leg ulcers are the most common type of chronic lower extremity ulcers. They typically have an irregular shape and well-defined borders, and often occur over bony prominences. Symptoms include limb heaviness, pruritus, pain, and edema. Other suggestive findings include telangiectasias, corona phlebectatica, atrophie blanche, lipodermatosclerosis, and inverted champagne-bottle deformity of the lower leg. Compression therapy is standard care. Exercise, dressings, pentoxifylline, and endovenous intereventions may also be helpful.

May 15, 2017 Issue
Laceration Repair: A Practical Approach [Article]

The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Learn the best techniques for wound preparation and repair, including suture and other closure options.

Aug 1, 2015 Issue
Tap Water vs. Sterile Saline for Wound Irrigation [Medicine by the Numbers]

Studies show that infection was prevented in 1 in 36 patients and none were harmed. Find out more.

Jun 15, 2015 Issue
Sterile Gloves Not Necessary for Minor Skin Surgery [POEMs]

Infection rates in patients undergoing uncomplicated minor skin surgery were not different when sterile gloves, rather than simply clean gloves, were worn. A previous study similarly found no difference in infection rates between sterile and nonsterile gloves in patients undergoing uncomplicated laceration repair in the emergency department.

Jun 15, 2014 Issue
Topical Preparations for Wound Healing [FPIN's Clinical Inquiries]

Topical silver should not be used for treatment of nonburn wounds because it does not hasten healing. Medical-grade topical honey can be used to reduce healing time for partial-thickness burns, but it produces no effect on lacerations, surgical wounds, chronic wounds, or vascular ulcers. Topical ant...

Apr 15, 2010 Issue
Diagnosis and Treatment of Venous Ulcers [Article]

Venous ulcer, also known as stasis ulcer, is the most common etiology of lower extremity ulceration, affecting approximately 1 percent of the U.S. population. Possible causes of venous ulcers include inflammatory processes resulting in leukocyte activation, endothelial damage, platelet aggregation, ...

Mar 1, 2007 Issue
Effectiveness of Dressings for Healing Venous Leg Ulcers [Cochrane for Clinicians]

No single dressing or type of dressing appears to be superior to others in the complete healing of ulcers or in healing rate.

Jun 1, 1998 Issue
Current Guidelines for Antibiotic Prophylaxis of Surgical Wounds [Article]

Appropriately administered antibiotic prophylaxis reduces the incidence of surgical wound infection. Prophylaxis is uniformly recommended for all clean-contaminated, contaminated and dirty procedures. It is considered optional for most clean procedures, although it may be indicated for certain patie...

Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now