Here - EWMA 2013

POSTER PRESENTATIONS
P 317
Poster: Leg Ulcer
ALGINATE DRESSING WITH MEDICAL CHESTNUT HONEY IN TREATMENT OF
CHRONIC WOUNDS
Sandra Marinović Kulišić 1 , Nada Kecelj Leskovec 2 , Tanja Planinšek Ručigaj 2
1 University Hospital Centar Zagreb, Department of Dermatology and Venerology
(Zagreb, Croatia);
2 Dermatovenerology Clinic, Clinical Centre Ljubljana (Ljubljana, Slovenia).
Aim: Clinical investigation on efficacy of alignant dressing with medical chestnut honey
has been carried out in the University Hospital Center Zagreb, Department of
Dermatology and Venereology, School of Medicine University of Zagreb and
Dermatovenerologic Clinic, Clinical Centre Ljubljana. The study comprised 52 patients
with previously histologically verified ulcerations of different etiologies (34 patients with a
venous ulcer, 5 patients with an arterial ulcer, 5 patients with vasculitis allergica
leukocytoclastica, 3 patient with necrobiosis lipoidica, 4 patients with pyoderma
gangrenosum and 1 patient with leschmeniasa cutis).
Method: Therapy with medical chestnut according to the wound status (wound type,
localization, wound size, wound appearance, wound leaking wound wetting, exudation
color, surrounding skin condition, pain) and by the classification of chronic wounds with
previously performed bioptate of ulceration for microbiological analysis and
pathohistological verification.
Results: Alginate honey dressings treatment of chronic wounds was compared to group
of patients treated with silver dressings, alginate dressings and poliuretan. Two weeks
after the therapy introduction the wound defect was filled with granulation tissue, the
swelling size and skin redness were reduced accompanied with secretion, fetor and pain
reduction.
Conclusions: The use of alginate honey dressings in the management of chronic
wounds is a treatment method that may be administered only after the appropriate
diagnosis has been made. The treatment of chronic wounds by modern dressings
reduces the time needed for wounds to heal and number of visits for re-dressing, which
subsequently reduces the cost of treatment.
POSTER: LEG ULCER
P 318
MANAGEMENT OF A LEG ULCER WITH INNOVATIVE FOAM AND
ANTIMICROBIAL DRESSINGS
Poster: Leg Ulcer
Dawn Stevens 1 , Adam Derbyshire 2
1 BSN Medical Ltd (Irchester, United Kingdom);
2 Irchester Medical Centre (Irchester, United Kingdom).
Aim: Treatment of an indolent leg ulcer with copious exudate and high bioburden levels.
Frequent calls to the District Nursing Service due to strike-through were also inflating
treatment costs.
Method: A DACC-coated hydropolymer gel matrix dressing* was used for four days to
de-slough the wound bed. After this, high levels of exudate posed a problem, potentially
creating a breeding ground for bacteria. To prevent infection occurring, DACC-coated
swabs** were applied as an antimicrobial wound contact layer for fourteen days. An
innovative foam dressing*** was used to manage exudate with dressings changed on
alternate days.
Results: After two weeks the wound was showing signs of healing; exudate levels were
reducing due to the DACC-coated dressings managing wound bioburden wih te wound
bed covered with 10% granulation and 5% epithelial tissue.
Conclusion: Exudate management and infection prevention remain the fundamental
elements of wound healing. Treatment with this dressing regime was commenced to
assist with wound healing, control exudate levels, prevent further maceration and reduce
the risk of opportunistic infection. The foam dressings prevented strike-through and
managed exudate well, preventing call-outs saving District Nursing service costs. By the
end of the evaluation, the last dressing stayed in situ for three days which was excellent
progress. The foam dressings also helped to protect this patient’s delicate skin which
had previously suffered trauma. At the end of the evaluation, the District Nursing team
decided to continue using this product combination through to complete wound healing.
*Cutimed Sorbact Hydroactive
**Cutimed Sorbact swabs
***Cutimed Siltec
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