@article{oai:nagasaki-u.repo.nii.ac.jp:00005319, author = {Fujioka, Masaki and Hayashida, Kenji and Senjyu, Chikako}, journal = {Wound Medicine}, month = {Feb}, note = {Introduction: While negative pressure wound therapy (NPWP) has been shown to be useful, we felt that patients with wounds of complicated shapes were likely to develop infection during performing NPWT. We conducted an investigation to determine the factors of wound shape responsible for the occurrence of infection. Materials and methods: A total of 55 patients with wounds were treated using NPWT in our unit in 2011. Eight whose wounds formed a pocket, 7 whose wounds were deep, and 40 whose wounds did not come under the above 2 types were eligible for this retrospective study. Results: Fifteen patients (27.3%) with NPWT showed a relapse of local infection. Six of the 8 patients (75.0%) in the wound with pocket group, 5 of the 7 (71.4%) in the deep wound group, and 4 of the 40 (10.0%) in the other wounds developed infection. The wound infection development ratio of the wound with pocket and deep wound groups was significantly higher than that of the other wound group. Conclusion: Wounds with complicated shapes are more likely to develop infectious complications during the management of NPWT. More careful observation is required when negative pressure therapy is used for wounds with a complicated shape., Wound Medicine, 4, pp.5-8; 2014}, pages = {5--8}, title = {Wounds with complicated shapes tend to develop infection during negative pressure wound therapy}, volume = {4}, year = {2014} }