Negative pressure therapy in pediatric patient with surgical site infection: experience report

Leticia Pontes1, Juliana Szreider de Azevedo1,2, Izabela Linha Secco1,2

  • 1Universidade Federal do Paraná, Programa de Pós-Graduação em Prática do Cuidado em Saúde, Curitiba, PR, Brazil.

Insights

Negative pressure wound therapy and hydrofiber dressing with silver effectively treated a pediatric surgical wound infection. These advanced wound care methods promoted significant skin regeneration in a complex case.

Area of Science:

  • Pediatric Surgery
  • Wound Healing
  • Infectious Diseases

Background:

  • Surgical site infections pose significant challenges in pediatric care.
  • Hard-to-heal wounds require advanced therapeutic strategies for optimal outcomes.

Observation:

  • A pediatric patient developed a surgical wound infection post-peritoneostomy.
  • Initial treatment involved hydrofiber dressing with silver.
  • Negative pressure wound therapy was subsequently applied.

Findings:

  • Hydrofiber dressing with silver facilitated wound management for 22 days.
  • Negative pressure wound therapy (NPWT) was applied for 15 days, leading to wound regeneration.
  • Both treatments demonstrated efficacy in managing the complex pediatric wound.

Implications:

  • Negative pressure wound therapy is a safe and effective option for complex pediatric wounds.
  • Hydrofiber dressing with silver also supports the skin regeneration process.
  • This case highlights successful advanced wound care protocols in pediatric surgery.
Abstract

Related Concept Videos

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
283
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
179
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
81
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
231
Sputum Studies II: Culture and Sensitivity01:20

Sputum Studies II: Culture and Sensitivity

Description
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
255
Chest Physiotherapy01:24

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
389