title: Occlusive bandaging of wounds with decreased circulation promotes growth of anaerobic bacteria and necrosis: case report.
abstract: BACKGROUND
  Topical occlusive/semi-occlusive dressings that induce a damp and trapped environment are widely used in wound treatment. Subjecting the wound with impaired circulation to such trapped/air-free environment potentiates the growth of anaerobic bacteria and risk for serious infection.
  
  
  METHODS
  We present a case of previously healthy Swedish male that had a muscle contusion after heavy trauma that induced impaired circulation. The application of an occlusive bandage to the post-traumatic wound on the patient resulted in a poly-microbial anaerobic infection and necrosis. These complications were treated successfully with antibiotics and open dressing of the wound.
  
  
  CONCLUSIONS
  The pathophysiology of difficult- to- treat ulcers should be reviewed by the physician and occlusive dressing should be avoided when treating wounds with impaired circulation.
authors: The Institute for Protein Environmental Affinity Surveys (PEAS Institut) and Department of Infectious Diseases, Linköping University, Linköping, Sweden. fariba.nayeri@regionostergotland.se.
authors: Fariba
authors: F
authors: Nayeri
mesh_terms: D001421:Bacteria, Anaerobic / Q000254:growth & development*; D001775:Blood Circulation; D006097:Granulation Tissue / Q000473:pathology; D006470:Hemorrhage / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009779:Occlusive Dressings; D014945:Wound Healing; D014947:Wounds and Injuries / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology*; D014965:X-Rays
keywords: Anaerobic infection; Occlusive bandage; Poly microbial; Wound care