Management of a difficult-to-heal chronic wound infected with methycillin-resistant staphylococcus aureus in a patient with psoriasis following a complex knee surgery.
This report presents the difficulties encountered in managing a wound colonized with methycillin-resistant Staphylococcus aureus (MRSA) following a complex knee surgery in an elderly female patient with generalized psoriasis. The patient's chronic wound was successfully treated with nanocrystalline silver-releasing dressings (Acticoat). The patient did not develop a deep-seated infection, nor was removal of the implant needed. However, the wound infection persisted for 6 months. At 3 years follow-up, the patient has satisfactory skin over the implant on the knee.
Bhattacharyya
Mayukh
M
University Hospital Lewisham, London. mayukhbhattacharyya@hotmail.com
Bradley
Helen
H
D000368:Aged; D001458:Bandages; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000382:microbiology / Q000601:surgery; D016106:Methicillin Resistance; D019637:Orthopedic Procedures / Q000009:adverse effects; D011565:Psoriasis / Q000382:microbiology*; D018030:Silver Compounds / Q000627:therapeutic use*; D013207:Staphylococcal Skin Infections / Q000188:drug therapy*; D013211:Staphylococcus aureus / Q000187:drug effects*; D013530:Surgical Wound Infection / Q000188:drug therapy* / Q000382:microbiology; D014945:Wound Healing / Q000187:drug effects*
D018030:Silver Compounds