1.Compound lysostaphin disinfectant treatment of burn wound infection in the latter part of the clinical observation
Wei GAO ; Weiyan CHEN ; Banquan ZHANG ; Xingang YANG ; Shoufeng WANG ; Zhengjie DANG
International Journal of Surgery 2009;36(3):171-174
Objective To investigate the efficacy and safety of compound lysostaphin disinfectant solution in the latter stage of the treatment of bum wounds infection,and to evaluate its clinical value.Methods The selected 60 cases of bum wound infection were grouped into treatment and control group at random.The treatment group recieved compound lysostaphin disinfectant solution(Shanghai Hi-tech Co.bio-engineering,Ltd.)with debridement and wet,once a day;the control group with normal saline+gentamicin wet gauze,once a day.After cleaning the wound two groups 40 cases of underwent regular skin debridement,20 cases in each group.The bacteria changes in the wound were detected,of bacteria removal the accumulated rate of wound healing time and healing rate were compared.Results 3,6,9 days after treatment the accumulated rate of bacteria removal was 45.8%,73.9%, 89.5%higherthan the control group(13.8%,27.6%,57.4%)respectively(P<0.01).Wound healing time in the treatment group was(12±5)d,shorter than the control group(16±4)d Was significantly(P<0.01). The rate of wound healing in the treatment group was significantly higher(P<0.01).No adverse reactions were found.Conclusion The treatment application of compound iysostaphin disinfectant in the later stage of bum wound is effective in control of infection,increases the survival rate of skin and shortens wound healing time,so it is safe and effective.