Here - EWMA 2013

POSTER PRESENTATIONS
P 400
MANAGING LEG ULCERATION UNDER COMPRESSION HOSIERY
Poster: Case Study
Sarah Rushton 1 , Andrea McDonald 2
1 BSN Medical Ltd (United Kingdom);
2 Central Essex Community Service (Maldon, United Kingdom).
Aim: Management of an exuding leg ulcer prone to re-infection. Dressings used needed
to stay securely in place under compression hosiery.
Method: DACC-coated swabs* were used as an antimicrobial wound contact layer to
manage infection, with an innovative bordered foam dressing* for exudate management,
maintain a moist wound environment and to help prevent maceration. Dressings were
changed weekly in clinic with a spare foam dressing left with the patient in case they
dislodged upon nightly removal of stockings.
Results: Initially, the wound bed was covered with 80% slough, measured 4.6cm x
1.9cm, was critically colonised with moderate exudate levels. After five weeks, the
wound measured 1.5cm x 1.4cm with 20% granulation and 80% epithelial tissue.
Conclusion: If high levels of exudate are mot managed appropriately, moisture can leak
onto peri-wound skin causing maceration making the area more prone to damage. The
foam dressings used are designed to vertically absorb fluid away from the wound bed,
reducing the risk of maceration. Under compression, super-absorbers above the foam
core also help to retain fluid. The additional dressings provided were also not needed as
the product stayed in place due to the gentle, yet secure silicone border. The DACCcoated
swabs successfully prevented infection recurrence and assisted with slough
removal and in this case the need for frequent antibiotics.
*Cutimed Sorbact swabs
*Cutimed Siltec B
POSTER: CASE STUDY
P 401
USE OF CALCIUM ALGINATE IN SILVER WITH INJURY ARISING FROM
SYNDROME FOURNIER
Poster: Case Study
Andreia Oliveira 1
1 Instituto de Infectologia Emilio Ribas (São Paulo, Brazil).
Fournier syndrome, characterized by an acute infection of the soft tissues of the
perineum.
Objective: This study aims to report the experience of care topic of a syndrome of
Furnier with calcium alginate with silver.
Method: This is a case study in public hospital of São Paulo EAL, 49, male, white,
married, started with pain evolution with perianal seven days where he began to
experience swelling and hyperemia with poor general condition,14/04/12 days
hospitalized with diagnosis of abscess ischial rectal. On 16/04/12 held perianal abscess
drainage and debridement. Done secretion culture perianal on 03/05/12 acinetobacter
baumannii with results spp, sensitive to gentamicin and amikacin, ceftriaxone. On
23/04/12 conducted evaluation of the lesion, which showed total area: 45 cm ², with
approximately 14% grain, 76% slough and 10% necrosis, lots of sero sanguineous
exudate, foul odor and referred pain onsite. Calcium Alginate dressing with silver,
changed every 24 hours.
Result: At day 8 was reevaluated, an improvement of the aspect of the lesion,
decreasing pain (score 4), decrease tissue slough and necrosis and increase in
granulation tissue, odorless and small amount of serous exudate being maintained at
conduct. On the 13th day care showed significant decrease the size of the wound, with
total area of 18 cm ², 100% and granulation tissue in the wound bed, with resolution of
pain, exudation and odor.
Conclusion: Resulting in success in the evolution of the lesion, supporting the patient
on discharge on 05.30.12 with total closure of wound.
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