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Use of a noncontact radiant heat bandage and Staphylococcus aureus dermal infections in an ovine model
Author(s) -
Lee Eugene S,
Caldwell Michael P,
Talarico Paul J,
Kuskowski Michael A,
Santilli Steven M
Publication year - 2000
Publication title -
wound repair and regeneration
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.847
H-Index - 109
eISSN - 1524-475X
pISSN - 1067-1927
DOI - 10.1046/j.1524-475x.2000.00562.x
Subject(s) - bandage , medicine , staphylococcus aureus , surgery , soft tissue , biology , genetics , bacteria
Diabetic foot wounds are difficult to manage due to relative tissue ischemia and high rates of soft tissue infection. One potential treatment modality is the application of local radiant heat to promote wound healing and control infection. However, there are concerns that local heat will spread rather than control infection. We determined in this study the effect of a noncontact radiant heat bandage in controlling an ischemic soft tissue infection. Bilateral 10 × 15 cm dermal flaps were created in 15 adult range sheep. The flaps were inoculated intradermally with 10 7 Staphylococcus aureus in 3 separate areas. The control flap was left open to air, while the treatment flap was covered with a noncontact radiant heat bandage and heated to 38 °C for three 1‐hour periods separated by two 1‐hour nonheating periods daily. After 10 days, both dermal flaps were harvested and sent for quantitative bacteriology. Due to operative complications, 12 of 15 sheep completed the study. The heated flap temperature was significantly higher 39.2 ± 0.5 °C (± SE) vs. the control flap 36.1 ± 0.1 °C ( p < 0.00001) and bacterial counts were significantly smaller in the heated flap (median 1.0 × 10 7 colony‐forming units per gm tissue) when compared to the control flap (median 7.5 × 10 7 ) ( p = 0.001). This study shows the use of a noncontact radiant heat bandage controls ischemic soft tissue infections in an ovine model.