Living with diabetes can result in a variety of complications, including nerve damage, inflammation and reduced blood flow. These factors increase the risk of developing chronic, non-healing wounds that will become infected. We look at ways to manage these risks.
Debridement is a technique used to remove dead or infected tissue from a wound to promote healthy tissue growth and healing. We look at the importance of this process.
In this article, we look at what biofilms do in a wound and why they are of concern. We cover the best ways to remove them and how to minimise their occurrence.
These 2 case studies describe the successful treatment of diabetic foot ulcers (DFU) in two patients with Type 1 diabetes mellitus. HOCl is effective for multiple drug-resistant pathogens, is anti-biofilm and modulates inflammation, leading to healing. The protocol can be followed at home, saving patients both time and money, and improving compliance and quality of life.
Here, we present a case on OXA-48 Klebsiella pneumoniae wound infection, a carbapenemase-producing Enterobacteriaceae MDR Gram-negative bacteria that was treated successfully with Trifectiv Plus hypochlorous acid gauze dressings retained with crepe bandages. This approach was successful in eradicating the OXA-48 infection, and further instrumental in the control of inflammation, which allowed the wound to heal completely within 60 days.
Here we describe an example of a non-healing, inflamed superficial to partial thickness burn wound that appeared to be associated with biofilm. Special reference to the relationship among biofilm, inflammation and non-healing of burn wounds is illustrated in the case study given. This case study also explores the use of hypochlorous acid (HOCl) in an infected burn wound.