TREATMENT OF DIABETIC FOOT WITH COMBINATION OF TOPICAL NEGATIVE
PRESSURE THERAPY AND POLYHEXANIDE IRRIGATION SOLUTION
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EWMA 2013 - Ep 587 - TREATMENT OF DIABETIC FOOT WITH COMBINATION OF TOPICAL NEGATIVE PRESSURE THERAPY AND POLYHEXANIDE IRRIGATION SOLUTION

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Gema Rodríguez 1 , Carmen Soraya Robledo 2, Sonsoles Martín 3 ,
Mª Cruz Vicente 3, Mª Soledad Valle 3, Ana Mª Calvo 3

Published in: Health & Medicine
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EWMA 2013 - Ep 587 - TREATMENT OF DIABETIC FOOT WITH COMBINATION OF TOPICAL NEGATIVE PRESSURE THERAPY AND POLYHEXANIDE IRRIGATION SOLUTION

  1. 1. TREATMENT OF DIABETIC FOOT WITH COMBINATION OF TOPICAL NEGATIVE PRESSURE THERAPY AND POLYHEXANIDE IRRIGATION SOLUTION Gema Rodríguez 1 , Carmen Soraya Robledo 2, Sonsoles Martín 3 , Mª Cruz Vicente 3, Mª Soledad Valle 3, Ana Mª Calvo 3 Case study: A 86 years old male with type II diabetes, arterial hypertension, renal and cardiac failure. The patient was admitted to a regional hospital due to an intense pain in his right foot and showed an abscess in 4thand 5th finger. MRSA culture was positive. Analgesia, antibiotics and isolation measures were all prescribed. Surgical cleaning with amputation of both 4th and 5th right foot fingers was performed and the wound was left open. A combination treatment with VACUUM THERAPY (TNP) and irrigation solution with POLYHEXANIDE was initiated in 3 days. TNP, time and doses Instillation were modified according to the wound progress. Furthermore, photographs and dimensions were recorded periodically. After 9 days of treatment and three cures the wound was cleaned and ready for surgical closure. The patient was discharged from the hospital 19 days after admission. One month later, the wound was healed and the patient had no pain, no signs or symptoms of infection. INTRODUCTION In february 2011, we iniciated TOPICAL NEGATIVE PRESSURE THERAPY AND POLYHEXANIDE IRRIGATION SOLUTION for DIABETIC FOOT. We decided to use this combination therapy due to the difficulty in preparing the wound bed in the diabetic foot and good results separately from both therapies. We present THE FIRST CLINIC CASE. DISCUSSION/CONCLUSIONS • Enchance wound cleansing. • Reduce the risk of clinical infection. • Promote wound healing. METHODS RESULTSAIM ® 1 Centro de Salud Garrido Sur, Salamanca. SPAIN 2 Unidad de Emergencias Béjar, Salamanca. SPAIN 3 Hospital Universitario de Salamanca. SPAIN COMBINATION THERAPY WHIT NEGATIVE PRESSURE AND POLYHEXANIDE IS SHOWED AS AN OPTION IN WOUND HEALING OR PREPARATION FOR SURGICAL REPAIR. AMONG OTHER ADVANTAGES, WOUNDS ARE LESS HANDLED, IS COMFORTABLE FOR THE PATIENT AND REDUCES RISK OF INFECTION, WHICH FACILITATES HEALING OF WOUNDS REFERENCES: • TOPICAL NEGATIVE PRESSURE IN WOUND MANAGEMENET . Available from http:www.ewma.org/ • WOUND BED PREPARATION IN PRACTICE. Available from http:www.ewma.org/ • Documento de Consenso Nacional de úlceras de extremidad inferior. CONUEI. Available from: http//www.aeev.net/ • BOLETÍN AEEVH 2012 Available from: http//www.aeevh.net/

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