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

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/