Therapeutic effect of vacuum sealing drainage in the treatment of methicillin-resistant Staphylococcus aureus infected skin abscess
10.3760/cma.j.cn114453-20200203-00025
- VernacularTitle:负压封闭引流治疗耐甲氧西林金黄色葡萄球菌感染性皮肤脓肿的效果观察
- Author:
Qinghai DI
1
;
Weizhi XU
;
Xue LIU
;
Xiufeng GE
;
Jing WANG
;
Jiacheng ZHANG
Author Information
1. 青岛市胶州中心医院烧伤整形科 266300
- Keywords:
Negative pressure;
Sealing drainage;
Methicillin-resistant Staphylococcus aureus;
Skin abscess
- From:
Chinese Journal of Plastic Surgery
2021;37(8):912-915
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical application of vacuum sealing drainage (VSD) in the treatment of skin abscess caused by methicillin-resistant staphylococcus aureus (MRSA) infection. Methods:From January 2017 to December 2019, patients with skin abscess caused by MRSA admitted to the Department of Burns and Plastic Surgery of Qingdao Jiaozhou Central Hospital were selected. The patients were randomly divided into control group and experimental group according to the random number table method. Control group was treated with vaseline gauze packing, drainage and dressing change. Experimental group was treated with VSD and dressing change. During the treatment, the lacunar closure of skin abscess in the two groups was observed comparatively, pus bacteria culture and antibiotic sensitivity test were conducted regularly to observe the wound infection control situation.Results:A total of 68 patients with skin abscess caused by MRSA were enrolled, including 43 males and 25 females, the average age was 47.66±15.71 years old. There were 20 males and 14 females in the control group(mean age 46.96±16.23 years old), 23 males and 11 females in the experimental group(mean age 48.35±15.18 years old). The healing time of skin abscess lacuna in control group was (27.79±1.97) d, (15.74±1.31) din experimental group. Bacterial culture of pus and drug sensitivity test detect the growth time from MRSA to non-pathogenic bacteria in control group was (18.65±1.47) d, (9.76±1.28) din experimental group. The difference between the two groups was statistically significant ( P<0.05). Conclusions:After incision and debridement, VSD and drainageand dressing change may serve as an alternative option for the skin abscess infected by MRSA. By actively and fully draining pus, the microenvironment of pathogenic bacteria reproduction and growth is changed, and the growth of fresh granulation tissue in the lacuna is promoted, the infection of MRSA can be more effectively controlled, the lacuna closure of skin abscess is promoted, and the clinical treatment cycle is shortened.
