Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 10 , Pages 1723-1726 , October 2009

Is the Use of Low-Pressure Pulsatile Lavage for Pressure Ulcer Management Associated With Environmental Contamination With Acinetobacter baumannii?

  • Chester H. Ho, MD

      Affiliations

    • Spinal Cord Injury/Disorders Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH
    • Department of Physical Medicine and Rehabilitation, Case Western Reserve University School of Medicine, Cleveland, OH
    • Corresponding Author InformationReprint requests to Chester H. Ho, MD, Chief, Spinal Cord Injury, Cleveland VAMC, 10701 East Blvd, Cleveland, OH, 44106
    • ,
  • Tova Johnson, DO

      Affiliations

    • Spinal Cord Injury/Disorders Service, Veterans Affairs Boston Healthcare System, Boston, MA
    • Department of Physical Medicine & Rehabilitation, Harvard Medical School, Boston, MA
    • ,
  • Joan Miklacic, RN, CIC, MSN, NP-C

      Affiliations

    • Office of Quality Management, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH
    • ,
  • Curtis J. Donskey, MD

      Affiliations

    • Infectious Diseases Section, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH
    • Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH

References 

  1. Chen D, Apple DF, Hudson LM, Bode R. Medical complications during acute rehabilitation following spinal cord injury: current experience of the model system. Arch Phys Med Rehabil. 1999;80:1397–1401
  2. Bergstrom N, Bennett MA, Carlson CE, et al. Treatment of pressure ulcers (Clinical practice guideline No. 15). Rockville: Dept of Health and Human Services, Agency for Health Care Policy and Research; 1994;AHCPR Publication No. 95-0652
  3. Green DL, Akelman E. A technique for reducing splash exposure during pulsatile lavage. J Orthop Trauma. 2004;18:41–42
  4. Hassinger SM, Harding G, Wongworawat MD. High-pressure lavage propagates bacteria into soft tissue. Clin Orthop Relat Res. 2005;439:27–31
  5. Svoboda SJ, Bice TG, Gooden HA, Brooks DE, Thomas DB, Wenke JC. Comparison of bulb syringe and pulsed lavage irrigation with use of bioluminescent musculoskeletal wound model. J Bone Joint Surg Am. 2006;88:2167–2174
  6. Maragakis LL, Cosgrove SE, Song X, et al. An outbreak of multidrug-resistant Acinetobacter baumannii associated with pulsatile lavage wound treatment. JAMA. 2004;292:3006–3011
  7. Grassia T. Wound care equipment linked to Acinetobacter outbreak. Infect Dis News 2005 Feb 1. http://www.infectiousdiseasenews.com/200502/tools.aspAccessed June 8, 2009
  8. Consortium for Spinal Cord Medicine Clinical Practice Guide-lines. Pressure ulcer prevention and treatment following spinal cord injury: a clinical practice guideline for health care professionals. Washington (DC): Paralyzed Veterans of America; 2000;
  9. National Committee for Clinical Laboratory Standards. Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically: approved standard, M7. Wayne: National Committee for Clinical Laboratory Standards; 1993;

 Supported by the Department of Veterans Affairs Rehabilitation Research and Development Service (grant no. A2803R).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(09)00373-6

doi: 10.1016/j.apmr.2009.04.009

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 10 , Pages 1723-1726 , October 2009

Article Tools