I have a patient who had a failed mesh placement and a panniculectomy and who has developed at least three separate fistulas with a very large amount of output (3-4 L/24 hrs). Any suggestions? I am using an Eakin wound management pouch hooked up to wall suction.
A Cross-sectional Descriptive Study of Pressure Ulcer Prevalence in a Teaching Hospital in China
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42 Abstract: Surveying pressure ulcer (PU) prevalence is a common practice in some western countries and has served as a tool to improve prevention policies and procedures. Although attention on PU prevention has increased in China, no PU prevalence baseline information is available to help guide care. To obtain this baseline information, a cross-sectional descriptive study was conducted in a 3,000-bed teaching hospital in Wuhan. On the morning of the study, trained clinicians audited the total hospital patient population (61 nursing units, 2,913 inpatients) using the PU survey tool designed by National Database of Nursing Quality Indicators®. The majority of the patients (1,648, 56.6％) were male, average patient age was 43.91 (±21.20) years, range 1 to 94 years. The overall PU prevalence rate was 1.8% (52 patients/79 ulcers). The hospital-acquired prevalence rate was 1.54% (0.82% when Stage I ulcers were excluded). Prevalence rates were highest in the ICU (45.5%) and most ulcers (53.2%) were located in the sacral-coccyx area. The results of this study suggest that overall PU prevalence rates are low compared to data from other countries. Differences in patient acuity, average patient length-of-stay, and prevention practices may explain these observations. The results of this study can guide hospital prevention efforts and serve as a benchmark for PU prevalence studies in China.
Please address correspondence to: Liu Yilan, RN, PhD, Department of Nursing, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology 1277 Jiefang Avenue, Wuhan, 430022, China; email: yilanl@yahoo.com.
Prevalence is the proportion of all cases of a condition among a population considered at risk for developing that condition at one point in time1,2 — an indicator of the extent of a particular health problem on a set day. Determining prevalence can provide useful information about the magnitude of a health problem.3
Measuring pressure ulcer (PU) prevalence has been shown to have important implications for basic nursing and quality control. Numerous studies on PU prevalence have been conducted in western countries over the past 20 years with widely varying findings. The first PU prevalence survey to capture reliable data throughout the US and set the benchmark for PU measurement was conducted in 1989.4 Subsequently, this survey has been conducted every 2 years in the US and after 2003, some facilities in other countries such as Canada, Saudi Arabia, and Australia also participated.5,6 Overall and nosocomial PU prevalence rates in these studies were 9.2% and 5.6%, respectively in 1989, and 15.5% and 10% in 2003 and 2004. In subsequent years, the reported international overall and nosocomial PU prevalence rates were 13.5% and 6.2%, respectively, in 20067 and 13.7% and 6.1%, respectively, in 2007.8 In the UK pediatric population, PU prevalence was 0.47% in 1998.9 In Canada, the PU prevalence rate was 29.7%10 in a teaching hospital in 1996 and the national mean prevalence rate was 26% in 2006.11 
A European study published in 2007 and conducted in five countries (Belgium, Italy, Portugal, UK, and Sweden) reported PU prevalence (Stage I through Stage IV, based on the National Pressure Ulcer Advisory Panel [NPUAP] scale) of 18.1%.
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