Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Sep 2024
[Importance and prevalence of multidrug-resistant gram-negative bacteria in Germany].
Infections with multidrug-resistant gram-negative bacterial species are a great concern in clinics in Germany. By limiting therapeutic options dramatically, these bacteria pose a significant threat to patient health and cause extensive pressure on hygiene systems and patient management. ⋯ According to established surveillance systems like national reporting systems, KISS or the National Reference Centre, multidrug-resistant bacteria are constantly on the rise in Germany. Although several novel therapeutic options have been approved recently, these bacteria represent a constant challenge and it may be necessary to discuss if the present hygiene recommendations need an update for an efficient and targeted prevention of transmission.
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Dtsch. Med. Wochenschr. · Sep 2024
[Skin changes around wounds: A position paper from the professional society Initiative Chronische Wunden (ICW) e.V.].
Many patients with chronic wounds have skin changes that can provide important clues as to the etiology of the wound and/or inappropriate treatment. As the largest human organ, the skin is easily accessible for clinical inspection. ⋯ One focus here is on the definition and differentiated description of the wound edge and wound surrounding skin. Atrophies, blisters, eczema, erythema, hemorrhages, hyperpigmentation, hypopigmentation, hyperkeratosis, maceration, necrosis, oedema, pustules, sclerosis and scales are then described in more detail and placed in a clinical context.
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Dtsch. Med. Wochenschr. · Sep 2024
[Shortfalls of new data 2017-2020 in the German transplant registry].
Recently, considerable deficiencies of legacy data (2006–2016) of the newly established German Transplant Registry were described. Current data (2017–2020) of the registry are subject to the present assessment. ⋯ The German Transplant Registry needs to be fundamentally reorganized. Above all, the mandatory consent to data storage and the uncritical inclusion of data provided by various institutions render the current registry useless.