By A.-A. Ramelet, J. Hafner, U. Brunner, W. Schmeller, P. Itin, G.B.E. Jemec

A finished advisor to the evaluation and remedy of leg ulcers. assorted elements of venous leg ulcers like epidemiology, exam with Doppler and duplex sonography, venography, sensible tests in addition to the most typical glossy classifications are recapitulated. additionally, conservative remedy tools equivalent to compression treatment, mobilization of the ankle joint and lymph drainage or various surgical concepts for recalcitrant venous ulcers are mentioned. The chapters facing diabetic foot ulcers provide a common outlook together with sufferer guide, orthopaedic sneakers and podiatric care besides administration of the diabetic foot an infection, and the symptoms for orthopaedic and vascular interventions.

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Additional resources for Management of Leg Ulcers (Current Problems in Dermatology Vol 27)

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Interpretation of Bacteriology Derived from Leg Ulcers Our personal observations on microbiological findings in leg ulcers [5] are comparable to previously published observations. Staphylococcus aureus (up to 88%) [2], Enterococcus (up to 74%) [2], Pseudomonas (up to 60%) [5], Enterobacteriaceae (up to 40%) [5], Streptococcus and skin flora are the most common bacteria that can be cultured from leg ulcers. A number of ulcers are culture-negative for several weeks [5, 10–12]. However, a culture-negative swab might be due to the use of a nonselective culture media for the implicated strains.

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Br J Dermatol 1989;121:337–344. Parry AD, Chadwick PR, Simon D, Openheim B, McCollum CN: Leg ulcer odour detection identifies -haemolytic streptococcal infection. J Wound Care 1995;4:404–406. Kontiainen S, Rinne E: Bacteria in ulcera crurum. Acta Derm Venerol (Stockh) 1988;68:240–244. Pardes JB, Carson PA, Eaglstein VH, Falanga V: Mupirocin treatment of exudative venous ulcers. J Am Acad Dermatol 1993;29:497–498. Halbert AR, Stacey MC, Rohr JB, Jopp-McKay A: The effect of bacterial colonization on venous ulcer healing.

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