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A Prospective Pilot Study to Evaluate Wound Outcomes and Levels of Serum C-reactive Protein and Interleukin-6 in the Wound Fluid of Patients with Trauma-related Chronic Wounds

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Section: 
Feature
Author(s): 
Tao Liu, MD; Fan Yang, PhD; Zhanfei Li, PhD; Chengla Yi, PhD; and Xiangjun Bai, PhD

Index: Ostomy Wound Manage. 2014;60(6):30–37.

Keywords:trauma, chronic wound, C-reactive protein, interleukin-6, negative pressure wound therapy

Abstract

  If surgical closure of chronic wounds is an option, choosing an appropriate time to definitely close these wounds remains a challenge. Although the underlying mechanisms of nonhealing are not completely understood, serum C-reactive protein (CRP) and interleukin-6 (IL-6) in wound fluid have been found to be markers of the systemic and local inflammation state of chronic wounds. The purpose of this prospective, descriptive pilot study was to evaluate the effect of debridement, systemic antibiotics, and negative pressure wound therapy (NPWT) on the outcomes of trauma-related chronic wounds and changes in local inflammation responses, measured using CRP and IL-6 levels as indicators of cytokine regulation.

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