EWMA 2013 - Ep531 - Treatment of pressure ulcer in childhood

•

2 likes•764 views

Judit Vasas1, Angéla Meszes MD1, Gyula Tálosi MD2, Katalin Rácz MD2, Lajos KeményMD1, Zsanett Csoma MD1 1Department of Dermatology and Allergology, University of Szeged, Hungary 2Department of Paediatrics, University of Szeged, Hungary

 high prevalence of pressure ulcers (PUs):
27 % in paediatric intensive care units (PICUs)
23 % in neonatal intensive care units (NICUs)
 acutely ill, sedated, paralysed or immobilized neonates
and children are at risk
 occipital region, ear, nose or knees
medical devices and equipment can also cause PUs at
any sites
 Braden Q Scale for risk of PUs in paediatric population
 hydrogels, hydrocolloids, foam and film dressings are
advised

 to review pressure ulcers
 between January 2012 and January 2013
 tertiary NICU and PICU
 Patients were studied for:
age
sex
area of involvement
stages of decubitus (NUPAP)
treatment

Patients
Gender
(M/F)
Gestational
age (week)
Birth weigth
(g)
Lesion Localisation Treatment
1. F 39 3980 erythema (St. I.)
occipital
region
herb
containing
gel
2 M 40 3440
erythema (St. I).
occipital
region
herb
containing
gel
3. M 37 3500
haemorrhagious
erosion with crust
(St. II.)
occipital
region
hydrogels,
epithelizing
ointment
4. F 38 2480
haemorrhagious
ulcers with crust
(St. II.)
occipital
region
hydrogels,
epithelizing
ointment
5. F 26 700
superficial ulcers
with crusts (St. II)
left nasal
orifice
boracic acid
containing
ointment
211 neonates in NICU
5 neonates with pressure ulcers - prevalence of 2,36%
4/5 in the occipital region
1/5 in the left nasal orifice due to nasal CPAP cannule

Patients
in PICU
Gender
M/F
Age Lesion Localisation Treatment
1. M 3 year superficial ulcers with crusts (St. II) occipital region hydrogels, hydrocolloids
2. M 2 years two necrotic ulcers (St. III.) occipital region
hydroactive wound dressings
hydrogels, alginates, hydrocolloids,
silicon and foam dressings
3 M 1 year
two necrotic ulcers with crusts (St. II-
III.)
occipital region
hydrogels, alginates, foam
dressings, hydrocolloids
4. M 20 months 4 rounded necrotoic ulcers (St. II, III.) occipital region hydrogels hydrocolloids
5. F 10 years
superficial ulcer (St. II.), ulcer with
crusts (ST. III.)
sacrum, occipital
region
hydrogels, foam dressings
6. M 7 years
deep, necrotic ulcer, bone at the
bottom (St. IV.)
sacrum alginate
7. F 14 years bulla 3 cm in diameter (St. II.) right heel hydrogels, foam dressing
8 M 11 months superficial ulcer with crust (St. II.) occipital region hydrogels, foam dressings
9. M 4 months haemorrhage, erythema (St.I.) occipital region herb containing gel
10. F 18 months superficial ulcer with crust (St. II.) occipital region hydrogels, epithelizing ointment
11 M 15 years
deep, necrotic ulcer with bone at the
wound base (St, IV.)
sacrum alginate dressings
12. F 4 months superficial ulcers with crusts (St. II.) occipital region hydrogels, epithelizing ointment
13 M 10 years eryhema (St. I.)
both lateral
malleus
herb containing gel
14 F 11 years
haemorrhagious, necrotic based
ulcers (St. III.)
occipital region,
trunk, sacrum
hydrogels, hydrocolloids, silver
alginate,
15 M 12 years
haemorrhage, bulla, superficial ulcer
(St. II.)
left heel hydrogels, povidone iodine cream

 385 neonates in PICU
 15 children with
pressure ulcers
 prevalence 3,89%

 Prevention is inevitable
reposition of patients
check and reposition of medical equipments
weight-relieving gel pillows and foam
mattresses
 Minimizing risk with nutritional considerations
 Paucity of evidence-based local therapy
 Futher researches are needed with dressings

This document summarizes two case reports of rare adenocarcinoma of the ceruminous glands that originated in the external auditory canal. In both cases, the tumors had grown into the middle ear and brain. One patient underwent surgery followed by adjuvant treatment for locally advanced disease. The other patient with advanced disease received only palliative therapy. Adenocarcinoma of the ceruminous glands is typically diagnosed at a late stage with local invasion that makes radical surgery difficult. These cases highlight the tumors' ability to primarily involve the intracranial space and subsequently spread to the middle ear.

Pressure Ulcer Prevention & Skin Care

NAW52

A pressure ulcer is an injury to the skin caused by prolonged pressure that cuts off blood flow. Ulcers are common in people who are confined to beds or wheelchairs and cannot shift positions to relieve pressure. Factors like limited mobility, incontinence, poor nutrition, and aging can increase risk. Ulcers are staged from 1 to 4 based on their depth, with stage 1 being the least severe. Preventing ulcers involves regularly shifting positions, using special beds and cushions, keeping skin clean and moisturized, and addressing other risk factors through diet and exercise.

Pressure Sores

Miami Dade

Pressure ulcers, also known as bedsores or decubitus ulcers, are localized areas of tissue necrosis that occur when soft tissue is compressed between a bony prominence and an external surface for a prolonged period. They are commonly staged from Stage 1 to Stage 4 based on depth of tissue damage. Key risk factors include immobility, moisture, malnutrition, and aging. Prevention focuses on risk assessment, pressure relief, skin care, and nutrition. Treatment involves debridement, dressings, management of bacterial infection, and surgery for advanced cases. Complications can include infection, osteomyelitis, and rarely, cancer.

Pressure ulcer assessment and management

Furqan Khan

This document provides information on pressure ulcer assessment and management. It defines pressure ulcers and describes the common sites where they occur. It also outlines the classification system for staging pressure ulcers from Stage I to IV, as well as categories for suspected deep tissue injury and unstageable ulcers. For each stage and category, the document details approaches for assessment, wound cleaning, debridement if needed, dressing selection, and offloading of pressure. It lists causative factors for pressure ulcer development and nursing interventions for prevention.

15.Gingival Inflammation.pptx

DrNavyadidla

This document summarizes the stages of gingival inflammation. It begins with initial inflammation seen as vascular changes like dilated capillaries. Early inflammation occurs within 1 week, shown microscopically as PMN infiltration. Established inflammation happens after 2-3 weeks of plaque accumulation and is characterized by B and T lymphocyte accumulation and plasma cell domination. Advanced inflammation involves bone loss and widespread tissue damage. The document provides histological details of the progression from healthy gingiva to advanced periodontitis.

Crimson Publishers-The Mastoid Compartment of Middle Ear Cleft-A Clinic Patho...

CromsonPublishersotolaryngology

True Fibroma of Palate (A Case Report)

iosrjce

This case report describes a rare case of true fibroma occurring on the palate of a 35-year-old male patient. The patient reported a lump on his palate that was interfering with chewing. Clinical examination revealed an irregular, grayish growth on the palate that was excised using diode laser. Histological examination showed features consistent with true fibroma, including sharp demarcation from surrounding tissue and a fibrous capsule. Immunohistochemical staining was negative for S-100, confirming it was not a neural tumor, and positive for fibrous tissue antigens. This supported the diagnosis of a true fibroma, which is a rare benign neoplasm of the oral cavity. The patient had no recurrence at 15-day

controversies in periodontics

Sonal Goyal

This document discusses several controversies in periodontics. It addresses debates around the classification of periodontal diseases, factors involved in periodontal pathogenesis like invasiveness of bacteria and the role of the periodontal epithelium. It also examines controversies in diagnosing periodontal diseases and determining an accurate prognosis. Additionally, it looks at debates around treatments like gingival curettage, tooth mobility and splinting, one stage full-mouth disinfection versus quadrant SRP, and whether results are comparable between non-surgical and surgical periodontal therapy. The document acknowledges that while knowledge has improved, some controversies remain due to limitations in present diagnostic methods and incomplete understanding of periodontal pathology.

This case report describes a 12-year-old boy with Down syndrome who presented with swelling of the right eyelid and was diagnosed with Luc's abscess, a rare complication of otitis media. Imaging showed abscess foci in the mastoid bone with extension to the right eyelid and cheek. The patient developed bilateral preseptal cellulitis despite antibiotic treatment. He underwent mastoidectomy and repair of a cerebrospinal fluid leak, which revealed widespread bone and tissue destruction. The patient recovered fully after surgery and additional antibiotic treatment. The report discusses the clinical features and management of Luc's abscess, noting its rare occurrence but potential for life-threatening complications if not treated promptly.

periodonta Disease pathogenesis

Riad Mahmud

Periodontal disease results from a complex interplay between subgingival biofilm and the host immune-inflammatory response. While several bacteria are found in periodontal pockets, no single organism causes the disease. The pathogenesis involves the host response to the bacterial challenge, which can remain at a low, asymptomatic level or progress to tissue destruction if left unchecked. Understanding these disease processes is important for developing improved treatment strategies.

Granulomatous gingival enlargement

Dr Gauri Kapila

This case report describes a 62-year-old female patient who presented with a non-healing gingival lesion. Initial biopsy found non-specific inflammation and giant cells suggestive of pyogenic granuloma. Two years later when the lesion had increased in size, investigations revealed miliary nodules in the lungs and a granulomatous infection. Tuberculin test was weakly positive and culture from biopsy grew Mycobacterium tuberculosis. The patient was diagnosed with secondary oral tuberculosis from post-primary pulmonary tuberculosis and showed improvement with antitubercular treatment. The report discusses the rare occurrence of oral tuberculosis lesions and challenges in diagnosis.

Periodontal medicine - Dr Harshavardhan Patwal

Dr Harshavardhan Patwal

Influence of systemic disorders on periodontal diseases is well established. However, of growing interest is the effect of periodontal diseases on numerous systemic diseases or conditions like cardiovascular disease, cerebrovascular disease, diabetes, pre-term low birth weight babies, preeclampsia, respiratory infections and others including osteoporosis, cancer, rheumatoid arthritis, erectile dysfunction, Alzheimer's disease, gastrointestinal disease, prostatitis, renal diseases, which has also been scientifically validated. This side of the oral-systemic link has been termed Periodontal Medicine and is potentially of great public health significance, as periodontal disease is largely preventable and in many instances readily treatable, hence, providing many new opportunities for preventing and improving prognosis of several systemic pathologic conditions. in this power point Dr Harshavardhan Patwal , highlights the importance of prevention and treatment of periodontal diseases as an essential part of preventive medicine to circumvent its deleterious effects on general health.

Of partial defects of the dental rows of dynamic study of the state of the mu...

SubmissionResearchpa

Despite the rapid development of dentistry and advances in the prevention of diseases of the maxillofacial region, implantology, and the treatment of dental diseases, the number of patients who need prosthetics with removable orthopedic structures of dentures remains high, and only increases with age, due to the increasing rate of aging. society of the planet (M.Yu. Ogorodnikov, 2007; V.I.Shemonaev, 2012; E.S. Kalivradzhiyan, 2013; E.A.Zholudev, 2014; CE. Bragin, 2014; L.D. Veisheim, 2014). Among the reasons for the high demand for orthopedic treatment with removable dentures, the leading position is still held by insufficient sanitation of the oral cavity, untimely access of patients to the dentist. In addition, an important role is played by the problem of imperfection of materials and technologies used for the manufacture of dentures, leading to a deterioration in the condition of the dentition by A.Kh. Zhumaev 2020. Of partial defects of the dental rows of dynamic study of the state of the mucosa of the oral cavity in the new conditions of functioning. International Journal on Integrated Education. 3, 12 (Dec. 2020), 61-63. DOI:https://doi.org/10.31149/ijie.v3i12.913 https://journals.researchparks.org/index.php/IJIE/article/view/913/861 https://journals.researchparks.org/index.php/IJIE/article/view/913

154th publication jfmpc- 7th name

CLOVE Dental OMNI Hospitals Andhra Hospital

A 12-year-old female presented with swelling and pain in the right lower back tooth region. Radiographs revealed a well-defined radiolucency surrounding the right mandibular first, second, and third molars. The lesion was enucleated along with extraction of the involved teeth. Histopathological examination found a cystic cavity lined by non-keratinized epithelium, consistent with a radicular cyst. Follow-up after 1 month showed complete healing. This case report describes the presentation, management, and outcomes of a large multi-tooth radicular cyst in the mandible of a pediatric patient.

36th Publication- JFMPC- 7th Name.pdf

CLOVE Dental OMNI Hospitals Andhra Hospital

Case of epidermoid cyst in mandible a rare entity and review.

Dr Bhavik Miyani

A case of childhood Burkitt's lymphoma with gingival swelling as the first sy...

komalicarol

This case report describes a 4-year-old child who presented with gingival swelling as the initial symptom of Burkitt's lymphoma. The child was eventually diagnosed with stage IV Burkitt's lymphoma/leukemia based on bone marrow and genetic testing. After initial chemotherapy, the gingival swelling and right cheek swelling recurred, indicating disease recurrence. The child received further chemotherapy but ultimately passed away half a year later. This case highlights that gingival swelling can be an early oral symptom of systemic disease like Burkitt's lymphoma. Dentists and oral physicians play an important role in identifying signs of systemic conditions through oral examinations.

Gardner’s Syndrome: A Report of Two Cases

iosrjce

IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.

Tuberculosis: A Rare Cause of Linear Labial Ulceration

komalicarol

61st publication sjmps - 2nd name

CLOVE Dental OMNI Hospitals Andhra Hospital

This case report describes a 9-year-old female patient with fibrous dysplasia of the maxilla and a port wine stain on her face. Clinical examination and radiographic imaging showed abnormal bone growth replacing the maxilla. A biopsy confirmed the diagnosis of fibrous dysplasia. The patient underwent surgical recontouring of the maxilla and was happy with the results at her 2-week follow up appointment. Fibrous dysplasia is a benign condition where abnormal bone growth replaces normal bone, usually becoming inactive in adulthood, though some cases like this one may continue progressing during childhood growth.

Atypical ameloblastoma – an enigma in diagnosis review of literature and rep...

Quách Bảo Toàn

This case report describes an atypical ameloblastoma presenting diagnostic challenges. Histologically, the lesion showed features of both benign and malignant ameloblastoma. While areas displayed typical ameloblastoma characteristics, other areas showed epithelial dedifferentiation like cellular pleomorphism and atypical mitoses. However, these atypical features were not sufficient to classify it as ameloblastic carcinoma. The case was therefore diagnosed as an atypical ameloblastoma and close follow up was recommended due to its ambiguous nature between benign and malignant pathology. The report also briefly reviews the classification and literature on odontogenic malignancies.

Eosinophilic Ulcer of the Oral Cavity, Approach, and Differential Diagnosis

semualkaira

Benign ulcerations of the oral mucosa may have a similar appearance to malignant lesions [1, 2]. There are several conditions, both local and systemic, that can manifest as oral ulcers, and that can correspond, on many occasions, to both infectious and autoimmune causes. Probable etiology can often be determined by a complete medical history and a careful physical examination. However, on several occasions, an exhaustive diagnostic study will be necessary, counting on a range of diagnostic suspicions

Dentigerous cyst in maxilla in a young girl

Mausumi Iqbal

This document describes a case report of a rare dentigerous cyst in an 8-year-old girl arising from an unerupted maxillary premolar that had invaded the right maxillary sinus. Clinically, the patient presented with swelling in the right upper jaw. Radiographs revealed a partially formed tooth surrounded by a radiolucent area. The cyst was surgically removed via enucleation along with the displaced tooth. Histopathological examination confirmed the diagnosis of a dentigerous cyst.

Primordial odontogenic tumor

Dr.Lekshmy Jayan

2020 true-versus-bay-apical-cysts-clinical-radiographic-histopatological-and-...

Hugo Garcia

This study compared the clinical, radiographic, histopathologic, and histobacteriologic features of true and bay apical cysts. The study found no significant differences between true and bay cysts for any of the parameters evaluated. Both cyst types always exhibited intraradicular infection and sometimes extraradicular infection as well. The findings question the need to differentiate between true and bay cysts and do not support the assumption that true cysts are self-sustaining entities not associated with infection.

"Demographic Analysis Of Palatal Fistula In A Tertiary Care Centre: A Retrosp...

DrHeena tiwari

This document presents a retrospective study analyzing demographic data of patients with palatal fistulas who underwent repair at a tertiary care center between 2000-2020. The study found that in patients aged 0-6 months, fistulas were mostly located in the anterior hard palate and were predominantly less than 0.4mm in size. For patients aged 7-12 months and 13-24 months, most fistulas were also in the anterior palate but were larger in the older group. Patients over 24 months showed fistulas mainly in the anterior palate but had more intraoperative complications and postoperative infections. The results suggest certain age groups may be more prone to developing palatal fistulas in specific locations and sizes. Further prospective studies are recommended

Tuberculous dactylitis pseudotumor of an adult thumb.pdf

Prof Freih Abu Hassan البروفيسور فريح ابوحسان

This case report describes a 56-year-old man who presented with an 8-month history of painful swelling in his right thumb. Imaging showed extensive destruction of the proximal phalanx bone and soft tissue swelling. Biopsy revealed granulomatous inflammation and acid-fast bacilli, leading to a diagnosis of tuberculous dactylitis. The patient underwent surgical debridement and 6 months of anti-tuberculosis treatment. At a 7-year follow-up, the thumb was shortened but he had good hand function with no significant disability.

Running Head BIOLOGY QUESTIONS .docx

toddr4

Running Head: BIOLOGY QUESTIONS BIOLOGY QUESTIONS Biology Questions Student’s name Date of submission Nanoparticle vaccines A nanoparticle is a small particle whose dimensions range between zero nanometers to 100 nanometers. The scientific research relating to nanoparticles are increased in the recent past due to their applicability in the field of medicine. Nanoparticles are naturally-derived vehicles for vaccine delivery. This improvement has been made in the recent past following the safety issues and poor delivery systems that have hampered the development of vaccines. Nanoparticles provide a good platform for the delivery of antigens as well as acting as immunomodulators (Wilhem et al, 2016). Many clinics have recently adopted the use of nanoparticle-based clinics therapies, mostly in the treatment of communicable diseases as well as cancer diseases. As a result, these advances have paved way for the use of nanoparticle vaccines in these clinics to curb the levels of incidence for various infectious diseases. Nanoparticles have been found to be very useful in vaccination because they ensure the stability of the antigens, proper delivery of the antigens to the targeted areas, and immunogenicity. Critical Thinking, smallpox vs. chickenpox lesions While most people use the terms chickenpox and smallpox interchangeably, there are various differences between the two. First of all, for a chickenpox infection, the lesions are first seen on the trunk or the face, unlike in a smallpox-infected person where lesions first develop around the mouth and the throat. In chickenpox, there is a successive development of lesions while in smallpox, the lesions develop at the same time and look alike at all the different body sections (Galetta & Gilden, 2015). This means that in chickenpox, while some of the lesions are newly developing, others are already crusting out unlike in smallpox where all lesions develop at the same time. In chickenpox, there is a rapid change of lesions whereby they crust just within 24 hours unlike in smallpox where lesions could take even 15 days before scabbing. In chickenpox, lesions usually sit on the surface of the skin and appear like blisters while in smallpox, lesions are deeply rooted in the skin and are dome-shaped. In chickenpox, the rashes rarely develop on the foot or palms unlike in smallpox here they commonly develop. References Galetta, K. M., & Gilden, D. (2015). Zeroing in on zoster: a tale of many disorders produced by one virus. Journal of the neurological sciences, 358(1-2), 38-45. Paules, C. I., & Fauci, A. S. (2018). A universal flu vaccine is vital: A century after the deadly pandemic of 1918, we're still not safe. Scientific American, 318(2). Wilhelm, S., .

EWMA 2013 - Ep590 - HOLIDAY FEET: MANAGING A SUNBURNT FOOT USING THE RIGHT DR...

EWMA 2013 - Ep531 - Treatment of pressure ulcer in childhood

Recommended

Recommended

More Related Content

Similar to EWMA 2013 - Ep531 - Treatment of pressure ulcer in childhood

Similar to EWMA 2013 - Ep531 - Treatment of pressure ulcer in childhood (20)

More from EWMAConference

More from EWMAConference (20)

Recently uploaded

Recently uploaded (20)

EWMA 2013 - Ep531 - Treatment of pressure ulcer in childhood