| 225 |
Case Study
|
Use of silver antimicrobial gel on infected/contaminated trauma wounds to closure Kimberly J. Miner, ND, CNS, CWCN, FAPWCA, Salome Agbim, ND, CNS, APRN BC. Objective:.Determine the efficacy of silver antimicrobial gel (SAG) as primary dressing as a standard protocol on trauma wounds..Illustrate impact of SAG on infected/contaminated trauma wounds Case Studies:.The patient or staff was instructed to cleanse with wound cleanser, then place SAG in the wound bed with secondary cover dressing, light compression bandage or kerlix. Patient 1: Patient 80-year-old woman with trauma wound to LLE. History of HTN, GERD, MRSA. Wound 3 months old at 6/22/05, measured 2.5x1.7x0.8. Patient reported no pain, cognizant and did not require home health. Patient was instructed to complete protocol every 2-3 days. Wound at 6/29/05 measured 2.0x1.2x0.2 and at 7/20/05 measured 0.8x0.5x0.1 Patient 2: Patient 75-year-old woman with trauma wound to right groin. History of dementia, epilepsy, diabetes, and numerous decubitus ulcers. Wound was frankly infected at 2/16/05/05 and measured 4.8x2.2xslough. Patient reported pain status of 4-6. Daily dressing changes by SNF staff ordered. Wound had reduced to 3.0x1.0x0.7 one week later, and to 0.5x0.3x0.025 by 3/9/05. Patient reported no pain on subsequent visits. Patient 3: Patient 72-year-old woman with trauma wounds to right forearm. History of polymyalgia, hyperthyroidism, steroid dependency. Wounds 1.5x9.2x0.15 and 7.0x1.0x0.1 at 7/14/05. Patient reported no pain, cognizant and did not require home health. Patient completed dressing changes QOD. Proximal wound resolved at 7/28/05 and distal now two wounds measuring 0.9x1.4x0.05 and 0.6x3.0x0.05. Conclusion:.With complex elderly patients, better assessment and management of the wounds, and appropriate cleansing and debridement, even complex wounds can be enticed to heal. In addition, the treatment was cost-effective, and was easily completed by patient or facility staff, facilitating compliance to protocol. Support of Medline Industries for this project is gratefully acknowledged.. |
|