The Singapore Family Physician
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Vol 36 No. 1 - Psychiatry Updates
Pressure sore management for the primary care physician
The Singapore Family Physician
Vol 36
No 1
- Psychiatry Updates
44
- 47
1 March 2010
0377-5305
A pressure ulcer is defined as an area of localized damage to the
skin and underlying tissues caused by pressure, shear, friction,
and/or combination of these 2. In Singapore the prevalence of
prevalence of pressure ulcers was 18.1%, while the incidence
was 8.1% in a tertiary hospital in Singapore in 2002
3.Pressure ulcers place major social, clinical and economic
burdens on society. They are the source of numerous
complications, which result in long term, frequent, and/or
multiple hospital admissions. A new pressure ulcer is estimated
to increase a patient’s hospital stay by nearly a factor of five 4.Patients with pressure ulcers generally have significant poorer physical function, are less able to perform self care, and are
less mobile 5. More than half (51%) of the long term care-facility patients with pressure ulcers have methicillin-resistant Staphylococcus aureus (MRSA) infection
6. Furthermore, pressure ulcers are correlated with more than two fold rates of increased mortality
7,8 independent of the source of the ulcer.