2005 Symposium on Advanced Wound Care | |
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Case Study
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Autolytic debridement of an infected skin graft site using biosynthesized cellulose wound dressing in a diabetic patient: a case study Mary Bromeland, RN, Susan Ochsenschlager, BS, RN, John Lamiot, DPM, Peter Tsang, DPM, Debbie Yelton, RN, Fox Valley Wound Care Associates, Aurora, IL A 61-year-old patient with Type I diabetes was admitted to the hospital for a skin graft on her left arm. The site became infected and the wound enlarged. Since the patient had complicating factors the objective was to treat and keep the wound from infection so that a skin graft could be placed to close the wound. The patient received IV and oral antibiotics and the wound was treated with a sheet hydrogel and Vaseline gauze. After 8 weeks the wound had deteriorated, with areas of necrotic tissue and 2.9cm x 2.4cm x 1.3cm dimensions with undermining. Biosynthesized Cellulose Wound Dressing* (BCWD) was packed into the undermining areas. A separate BCWD was placed over the wound covered by a transparent dressing. BCWD maintains a moist healing environment by absorbing exudate or hydrating dry areas, depending on wound conditions. Dressing changes were performed every 2-3 days. Over the next four weeks the wound area developed yeast and bacterial infections that were treated while maintaining BCWD. The wound had decreased in size by 42% and appeared to be almost entirely red granulation tissue. Continued treatment using BCWD resulted in complete healing of the wound at 16 weeks. No skin grafting was required. * XCell® Cellulose Wound Dressing, Xylos® Corporation, Langhorne, PA |
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