Here - EWMA 2013

POSTER: CASE STUDY
Poster: Case Study
P 410
CASE STUDY USING PHMB AND BETAINE IRRIGATION SOLUTION
AND FOAM CAVITY ON A PERI ANAL ABCESS
Barbara Pritchard 1
1 Wrexham Maelor Hospital (Wrexham, United Kingdom).
Aim: A PHMB and Betaine irrigation solution was used to prevent signs and symptoms
of local infection, which was easy to use by the patient. The foam cavity dressing was
used to promote healing,as a cost effective wound management regime.
Method: The wound was cleansed and packed daily. The wounds were assessed for
signs / symptoms of infection, reduction in size, exudate levels and ease of management
for both the patient and the district nurse and patient comfort and well being.
Results: The wound has continued to reduce in size and amount of exudate. Although
the wound needs to be redressed daily, the amount of packing used has reduced
considerably and there has not been any signs or symptoms of infection. The patient
found the solution easy to use, and was so confident in the dressing regime that he has
returned to work. The patient was very reassured with the regime owing to the fact that
the wound has not become infected. The district nurses have also reported how very
satisfied they are with the regime.
Conclusion/Discussion: The use of antiseptics in wound cleansing has not been
viewed favourably in the past but this has shown how effective this PHMB and Betaine
irrigation can be, especially in wounds where the risk of infection is high. The foam
cavity dressing has shown to be very effective both in cost and exudate management.
The combination of the solution and the foam cavity dressing reassured both the patient/
nurse in promoting wound healing and patient/nurse partnership.
P 411
Poster: Case Study
THE USE OF A PHMB AND BETAINE IRRIGATION SOLUTION, TO REDUCE
COLONIZATION/BIOFILM IN A NON HEALING REVASCULARISED LOWER LEG
AND FOOT WOUND, CAUSED BY TRAUMA PRIOR TO APPLICATION OF SKIN
GRAFT
Teresa Awad 1
1 BUPA Cromwell Hospital (London, United Kingdom).
Aim: The presence of biofilms / colonization can significantly delay the wound healing
process. Bjarnsholt et al, 2008 described a biofilm as a microbial colony encased in a
polysaccharide matrix, which attaches itself to a wound surface producing a destructive
enzymes and toxins, the wound is then stuck in a chronic inflammatory phase. Regular
debridement topically and one episode of surgical debridement failed to eradicate biofilm
and promote healing. A new treatment plan was implemented post surgical debridement.
The aim of this was to evaluate the clinical efficacy of a PHMB and Betaine irrigation
solution in the treatment and management of lower leg / dorsum of foot wound to
eradicate biofims / bioburden, and prepare the wound bed for skin grating.
Method: Mr D admitted for surgically debridement followed by IV antibiotics, foot
elevation and PHMB and Betaine solution treatment. The leg / foot was cleaned using
the PHMB and Betaine irrigation solution, and a gauze soaked in the PHMB and Betaine
solution was placed on the open wound for ten minutes, twice daily for 5 days prior to
skin grafting.
Result: On day 2 post op dressing was removed and continued with twice daily soaks
for 10 days. Positive results the skin graft has taken and patient was discharged.
Conclusion/Discussion: The PHMB and Betaine irrigation solution was one of the
many treatments implemented to reduce the chronic colinazation / bioburden that
plagued this wound from not healing. Its appears significantly to enhanced the take of
the skin graft. Two culture swabs post grafting showed no bacteria.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
235