Here - EWMA 2013

POSTER: CASE STUDY
Poster: Case Study
P 418
THE ROLE OF FOTOBIOMODULATION WITH LIGHT EMITTING DIODES IN
REDUCTION OF CHRONIC WOUNDS SECRETION
Karin Birk 1 , Igor Frangež 1 , Dragica Maja Smrke 1
1 University Medical Center Ljubljana (Ljubljana, Slovenia).
Aim: Photobiomodulation with light emitting diodes (LED) means regulation of cellular
processes through well-defined light regimes. Clinical effects are: biostimulation,
analgesia, regeneration, immunomodulation or modulation of inflammation, in addition it
improves microcirculation of blood and lymph, and it has an antinevralgic,
antiedematous, spasmolytic and vasodilatory effect. Fototeraphy with LEDs or low level
energy lasers also has influence on reduction of secretion of chronic wounds.
Methods: Sixteen patients with chronic wound were treated at our clinic according to
standard treatment protocol for wound care. Patients were divided in two groups, study
group of eight patients was additionally treated with photobiomodulation with LED.
Photobiomodulation was performed twice a week with red light (630 nm) for four weeks
period.
Results: In group of patients that were additionally treated with LED, the wounds
healing was faster: improved reduction of the wound secretion, better granulation of
tissue formation and faster reduction of wound surface was observed.
Conclusion: Photobiomodulation with LED very efficient additional method that can be
helpful in reduction of wound secretion and consequently improve wound healing.
P 419
Poster: Case Study
THE USE OF HIGH DEFINITION ULTRASOUND TO EVALUATE THE
EFFECTIVENESS OF A HONEY PRESERVED DURABLE BARRIER CREAM IN
THE MANAGEMENT OF INCONTINENCE ASSOCIATED DERMATITIS
Andy Kerr 1 , Sylvie Hampton 2 , Steve Young 3
1 3M Health care (Loughborough, United Kingdom);
2 Wound Healing Centres (Eastbourne, United Kingdom);
3 Independent research professional (Oxford, United Kingdom).
Aim: Barrier forming creams are designed to simulate the natural barrier function of the
skin aiming to prevent or reverse existing skin breakdown. This poster reports an
evaluation of the product performance of a honey preserved durable barrier cream in the
management of incontinence using a new technique.
Method: This evaluation was conducted using 10 nursing home residents displaying
early signs of incontinence related skin inflammation and deemed “at risk” of further skin
breakdown. The patient’s skin was monitored and photographed over a 14 day
evaluation period. High definition ultrasound was used as a skin assessment tool
providing quantitative information about inflammation below the skin surface which is not
always visually evident.
Results: Initially the ratios of low echo pixels:total pixels (LEP:TP) were significantly
higher when compared to an internal control site reflecting inflammation in the deeper
layers of the skin. Over 2 weeks of use of the honey preserved durable barrier cream the
ratio value returned to levels similar to the control reflecting a reduction in skin irritation
that was also evident in the images captured by digital photography.
Conclusions: In summary it can be concluded that the honey preserved durable barrier
cream effectively reversed skin inflammation due to exposure to incontinence and
prevented any skin breakdown in all 10 subjects. The high definition ultrasound provides
a sensitive technique that allows quantitative data to be collected to determine the
efficacy of skin barrier products.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
239