원저 : 피부 외과적 수술 후 재택 자가소독의 의의
분야
의약학 > 피부과학
저자
계지원 ( Ji Won Gye ) , 홍승필 ( Seung Phil Hong ) , 김명화 ( Myung Hwa Kim ) , 박병철 ( Byung Cheol Park )
발행기관
대한피부과학회
간행물정보
대한피부과학회지 2013년, 제51권 제3호, 173~178페이지(총6페이지)
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27728747.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Background: As the number of dermatologic surgical procedures increases, home care wound management is growing in frequency. Objective: The aim of this study was to evaluate the efficacy and surgical site infection rate of home care wound manageme nt according to the use of oral antibiotics and the characteristics of the wound and of the patient. Methods: Our study included 207 patients that had undergone a dermatologic surgical procedure and the subsequent management of their wounds in the home. We checked overall infection rate of home care wound management and compared the result according to the use of oral antibiotics. We evaluated surgical site infection rate after we classified each surgical wound based on age, sex, surgical method, site, size, and depth. In addition, we surveyed efficacy of home care wound management. Results: Overall surgical site infection rate was 1.86%, and the infection rate was not significantly different between the group that utilized home care wound management without oral antibiotics and the group with oral antibiotics (p >0.05). There was no statistically significant difference of surgical site infection rate according to sex, age, wound`s size and depth (p>0.05). However, patients with younger age, male sex, greater size, and depth of wounds showed a numerical increase in surgical site infection rate. Staged partial excision for nevus sebaceous in scalp showed significantly higher rate of surgical site infection (p<0.05). In our survey, most patients preferred home care wound management after dermatologic surgical procedures and patients were able to perform the wound care well. Conclusion: We expect to utilize home care wound management after dermatologic surgical procedures, provided that physicians appropriately educate patients and their caretakers on proper dressings. (Korean J Dermatol 2013;51(3):173∼178)
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