Exudate management and antisepsis in diabetic patients with problem wounds: two case reports

Abstract

Introduction: Two cases of large, infected, nonresponding wounds in diabetic patients successfully treated with the combined use of a three-layer, hydrophilic polyurethane foam dressing with SMARTPORE Technology ™ and povidone-iodine formulations are reported. Objective was to provide optimized local wound bed preparation to prepare the wound bed for skin grafting. Presentation of cases:In case 1, a 76-year-old male presented with a 4-day history of bullae formation on the right leg due to necrotizing fasciitis. In case 2, a 65-year-old woman with a chronic right foot ulcer sought medical treatment.Main observations: In both cases, the combined use of the polyurethane foam dressing and the selective use of various povidone-iodine formulations provided good exudate absorption, lesser pain during dressing changes, infection control and reduced inflammation, thus enabling the successful management of chronic problem wounds in adult diabetic patients. Conclusion: These cases may further provide clinical data to show that this new polyurethane foam and povidone-iodine products can readily be used together and can be seen as compatible.

Promote severe wound healing by PVP-I dry powder spray: case series report

“…Our current experience of PVP-I echoes previous studies that iodine facilitates granulation tissue formation and shortens the time required for wound closure [5] PVP-I dry powder spray exhibited successful exudate management, providing good medium to high level exudate absorption, infection control, inflammation and pain reduction during dressing changes for diabetic patients [6,9] The performance of PVP-I was superior to both silver salfadiazine and chlorhexidine digluconate in a study of chronic leg ulcers wounds. The study also suggests PVP-I an appropriate tool for routine management of non-healable and maintenance [11].…”

“…Pressure ulcers and acute wounds with PVP-I use explained the reduction of bacterial load and infection rates [8]. However, the study of Dry Powder Spray is even more limited [9]. Differently, the four cases can exhibit the good healing outcomes by PVP-I Dry Powder itself.…”