povidone-iodine and Lacerations

Genital tract integrity is not always mantained during childbirth. No treatment protocol for post-partum perineal wounds (tears and episiotomies) existed in our Department, thus their management depends upon clinician. This study aimed to establish the role of antibiotic in the treatment of post-partum perineal wounds as well as the impact of antibioprophylaxis on wound healing and on prevention of infectious complications after repair.. The average age was 26.32 ± 6.5 years, ranging between 15 and 43 years. Primiparous women accouted for 55.9% of the study population. At day 0 post-partum the main symptom was pain, without significant predominance of a group (OR = 0.9; CI = 0.14-7.19; p = 1). Swollen wounds were the second complaint, without significant variation between the two groups (OR = 1.69; CI = 0.88-3.24; p = 0.13). At day 0, day 2 and day 9 no significant variation was observed between the two treatment protocols with regard to the indicators analyzed: pain evolution, infection, swelling and average healing time. At day 9 the healing was complete in both groups and the two treatment protocols were shown to be equivalent in their effectiveness and prevention of infections.. At the end of this study the two treatment protocols were shown to be equivalent. Antibiotics should not be prescribed for perineal wounds in order to contain the healthcare costs.

Topics: Adolescent; Adult; Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Cameroon; Cohort Studies; Delivery, Obstetric; Episiotomy; Female; Follow-Up Studies; Humans; Infections; Lacerations; Pain; Perineum; Postpartum Period; Povidone-Iodine; Pregnancy; Prospective Studies; Treatment Outcome; Wound Healing; Young Adult

Topics: Aged, 80 and over; Anti-Infective Agents, Local; Craniocerebral Trauma; Extravasation of Diagnostic and Therapeutic Materials; Humans; Lacerations; Male; Microsomes; Povidone-Iodine; Syncope; Tomography, X-Ray Computed

Several approaches exist for the treatment of animal attacks targeting the head and neck region. The treatment options and timing vary depending on the animal species, the nature of the defect, and the experience of the surgeon. In this study, early surgical treatment options used in head-neck injuries caused by domesticated or wild animal attacks are presented.We consider 12 patients who were admitted to our clinic between June 2006 and May 2010 with head-neck injuries caused by animal attacks. Tissue defect had developed in 10 patients due to half-wild dog bite and in 2 patients due to wolf bite. The ages of the patients ranged from 3 to 45 years (mean, 21.3 years). Among the patients included in the study, 4 had facial injury, 3 had ear, 3 had scalp, 1 had eye, and 2 had nose injuries. In all patients, early surgical reconstruction was performed after irrigation, antisepsis, and debridement. Concurrent rabies and tetanus prophylactic antibiotherapy program was started.Infection or surgical complications were not observed in any of the patients. Rabies symptoms were determined in one of the quarantined dogs under surveillance. There were no positive findings in the patient bitten by the dog. The surgical treatment results from all patients were at satisfactory levels.As a result, it is observed that, in the treatment of head and neck injuries resulting from animal bites, early acute approach has replaced the traditional long-term treatment. We believe that debridement and early surgical reconstruction used in combination with medical support and prophylactic treatment are the best treatment method.

Topics: Adolescent; Adult; Animals; Anti-Infective Agents, Local; Antibiotic Prophylaxis; Bites and Stings; Child; Child, Preschool; Craniocerebral Trauma; Debridement; Dogs; Ear, External; Eye Injuries, Penetrating; Facial Injuries; Female; Follow-Up Studies; Humans; Lacerations; Male; Middle Aged; Neck Injuries; Nose; Plastic Surgery Procedures; Povidone-Iodine; Rabies Vaccines; Scalp; Surgical Flaps; Tetanus Toxoid; Wolves