ACUTE WOUNDS: TECHNICAL FACTORS ASSOCIATED WITH LOCAL COMPLICATIONS

Authors

  • Gustavo Moreira Clivatti Universidade Federal do Paraná
  • Felipe Augusto Cavichiolo Universidade Federal do Paraná
  • Fernando Bordin Teles Universidade Federal do Paraná
  • Adonis Nasr Universidade Federal do Paraná

DOI:

https://doi.org/10.5380/rmu.v2i1.40668

Keywords:

Wounds, Cicatrization, Emergency

Abstract

Background: Trauma is a serious public health problem with relevant social and economic consequences. The open cutaneous wounds, despite less severe, are not different, because they have high prevalence, and the patients often need to be away from their functions. This study aims to evaluate these wounds, establishing relations between technique factors of the initial management with unwanted scar and local complications. Methods: A prospective, longitudinal, observational and analytical analysis was performed. Data were collected at Hospital do trabalhador (Curitiba/PR), through two questionnaires: the first was filled in the emergency care, and the second in the outpatient clinic return, within 05 to 11 days. Results: 232 patients were evaluated, and 87 returned to outpatient clinic. Considering the total, the epidemiological profile was male (81.5%) with mean age of 38.5 years. Related to the wound, 55% were cut-blunt, located at hands and frontispiece (62.7%), and 86.7% were less than 06 cm length. The initial treatment was cleaning with saline solution (94.7%), wound’s closure with simple interrupted suture (98.85%),  in a number of 06 or less (75.7%), with 3-0 or 4-0 (85.2%) nylon (98.25%). Antibiotic was prescribed to 42.7% of the patients. In outpatient clinic, it was found stitches dehiscence in 13.80%, infection signs in 14.95% and necrosis in 19.5%. Conclusions: Greater amount of stitches in suture, topical substances in home care and use of systemic antibiotics were related with high rates of necrosis, as well as application of hydrogen peroxide with hight rates of necrosis.

 

Author Biography

Adonis Nasr, Universidade Federal do Paraná

Professor do departamento de Cirurgia da Universidade Federal do Paraná

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Published

2015-04-04

How to Cite

Clivatti, G. M., Cavichiolo, F. A., Teles, F. B., & Nasr, A. (2015). ACUTE WOUNDS: TECHNICAL FACTORS ASSOCIATED WITH LOCAL COMPLICATIONS. Revista Médica Da UFPR, 2(1), 8–16. https://doi.org/10.5380/rmu.v2i1.40668

Issue

Vol. 2 No. 1 (2015)

Section

Artigos Originais

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