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Ulcer pain in patients with venous leg ulcers related to antibiotic treatment and compression therapy
Blekinge Center of Competence.
Blekinge Center of Competence.
Blekinge Center of Competence.
Blekinge Institute of Technology ; Blekinge Center of Competence.
2014 (English)In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 19, no Sup9, p. 6-13Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to compare venous leg ulcer patients with and without ulcer pain to see whether ulcer pain affected the use of antibiotic treatment and compression therapy throughout healing. A total of 431 patients with venous leg ulcers were included during the study period. Every patient was registered in a national quality registry for patients with hard-to-heal leg, foot, and pressure ulcers. A high incidence of ulcer pain (57%) was found when the patients entered the study. Patients with ulcer pain had been treated more extensively with antibiotics both before and during the study period. Throughout healing there was a significant reduction of antibiotic use among patients in the 'no pain' group, from 44% to 23% (P=0.008). There was no significant difference between the two groups concerning compression therapy (85% vs. 88%), but 12% of patients in the 'pain' group did not get their prescribed compression compared with 6% of patients in the 'no pain' group. The groups did not differ significantly in terms of ulcer duration, ulcer size or healing time. This study shows a high incidence of ulcer pain, confirming that pain has a great impact on patients with venous leg ulcers. Results further suggest that the presence of ulcer pain increases the prescription of antibiotics but does not affect the use of compression therapy. Several advantages were found from using a national quality registry. The registry is a valuable clinical tool showing the importance of accurate diagnosis and effective treatment.

Place, publisher, year, edition, pages
MA Healthcare Limited , 2014. Vol. 19, no Sup9, p. 6-13
Keywords [en]
Hard-to-heal ulcers, Healing time, Health-related quality of life, Wound healing, Wound management
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-72006DOI: 10.12968/bjcn.2014.19.Sup9.S6OAI: oai:DiVA.org:lnu-72006DiVA, id: diva2:1194833
Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2018-04-20Bibliographically approved

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Fagerström, Cecilia

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  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
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Output format
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  • asciidoc
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