Venous leg ulcers represent a major clinical problem, because of chronic evolution and difficulties to achieve healing. The ulcer is the most undesirable consequence of chronic venous insufficiency and requires a complex treatment (general and local). Local wound care depends on many factors, including infection of the ulcer. The aim of this study was to evaluate the bacterian presence in lesion and the impact of various germs on clinical evolution. Our study aims to assess the opportunity of antibiotherapy (systemic or local) or anothers antimicrobial agents. We studied 40 patients (admitted in Surgical Clinic I Timisoara) with infected leg ulcers. The microbiologic samples were collected to identify types of germs and sensibility to antibiotics. We considered that very useful to evidence multiresistant-germs (like methicilino-resistant stafilococ). Systemic antibiotherapy is recommended in infected ulcers, not in bacterian colonisation. Topic antibiotic did not prove the efficacy. Worldwide, patients receveid local antibacterial products (like medical honey or herbs extracts) for wound care. The results depends on many factors, but especially on pathogenic treatment of venous chronic disease.
MENU
