title: Early use of negative pressure therapy in combination with silver dressings in a difficult breast abscess.
abstract: Combining silver-based dressings with negative pressure therapy after radical excision of chronically infected breast disease is a novel application of two technologies. One patient with complex, chronic, infected breast disease underwent radical excision of the affected area and was treated early with a combination of silver-based dressings and topical negative pressure therapy. The wound was then assessed sequentially using clinical measurements of wound area and depth, pain severity scores and level of exudation. It is possible to combine accepted techniques with modern dressing technologies that result in a positive outcome. In this case, the combination of a silver-based dressing with negative pressure therapy following radical excision proved safe and was well tolerated by the patient. Full epithelisation of the wound was achieved and there was no recurrence of the infection for the duration of the treatment.
authors: Department of Dermatology and Wound Healing, School of Medicine, Cardiff University, Heath Park, Cardiff, UK. richardsaj1@cardiff.ac.uk
authors: Alastair J
authors: AJ
authors: Richards
authors: Sue M
authors: SM
authors: Hagelstein
authors: Girish K
authors: GK
authors: Patel
authors: Nicola M
authors: NM
authors: Ivins
authors: Helen M
authors: HM
authors: Sweetland
authors: Keith G
authors: KG
authors: Harding
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000628:therapy*; D000287:Administration, Topical; D000328:Adult; D001458:Bandages; D001941:Breast Diseases / Q000175:diagnosis / Q000628:therapy*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D054843:Negative-Pressure Wound Therapy / Q000379:methods / Q000706:statistics & numerical data*; D012008:Recurrence; D018030:Silver Compounds / Q000008:administration & dosage*; D013997:Time Factors; D014945:Wound Healing
chemical_list: D018030:Silver Compounds