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Biomedical subjects

J Z Cuzzell

Publications and source records attributed to J Z Cuzzell.

18 recordsLinked to original sources
PubMed1990

Choosing a wound dressing: a systematic approach.

Wound care presents a particular challenge in the critical care setting. Decisions about how to cleanse a wound and which dressing to use are often complicated by unexpected changes in the patient's condition, or the sudden occurrence of a wound infection. In this high-risk patient population, timely changes in topical therapy often can mean the difference between a wound that heals, or one that rapidly deteriorates. Much of the confusion over wound care and wound care products can be minimized by using a systematic approach to wound assessment. This chapter describes such an approach and summarizes local treatment options based on wound appearance.

Bandages↗
PubMed1979

Aspergillus infection of the burn wound.

During a 15-year period, 18 patients with major burns developed a wound infection due to Aspergillus. Ages averaged 28 years, extents of burn were 54% (14-97%) BSA for total surface involvement and 42% (14-85%) BSA for full-thickness injury. Pseudomonas sepsis preceded Aspergillus infection in 16 cases. Thirteen of the episodes occurred in three epidemics, each apparently related to contaminated air-conditioner ducts and filters. Treatment was based upon wound excision in all 18 patients, with recurrence initially in each. Topical and parenteral antifungal agents were never individually successful in controlling the infection. Whenever fungal sepsis involved an extremity alone and thus amputation could rid the body of the entire infected site, survival could then be achieved. The overall mortality rate was 78%. Protection of the wound from Aspergillus colonization appeared to be the only reliable method of preventing this often lethal fungus infection.

Adolescent↗