4758 TREATMENT of Radio-INDUCED Radiodermitis Grades II and III, IN CANCER PATIENTS Submitted to RADIOTHERAPY

Roselie Corcini , Irmandade da Santa Casa de Misericordia de Porto Alegre, Nurse, Porto Alegre, Brazil
Camila Marcadenti , Irmandade da Santa Casa de Misericordia de Porto Alegre, Nurse, Porto Alegre, Brazil
Neiro Motta , Irmandade da Santa Casa de Misericordia de Porto Alegre, Doctor, Porto Alegre, Brazil
The objective of this study was to evaluate the effectiveness of non-stick paraffin gauze covering the recovery of radiodermatitis grades II and III, as ranked by RTOG (Radiation Therapy Oncology Group), secondary to radiotherapy.
            Radiotherapy is a therapeutic modality to combat cancer, which aims to prevent and / or destroy the tumor cells from damage by ionizing radiation in cellular DNA. Even targeting neoplastic cells, healthy tissues with high mitotic rate — such as epithelial lining cells — are affected causing acute radiodermatitis.
Currently, the main center for radiation therapy is use, as a protocol for the recovery of the affected skin of radiodermatitis grades II and III, the discontinuation of treatment and achievement of long, painful dressings, for about 15 days, once or twice a day (as exudate and extent of injury), with saline solutions, sprays and antibiotic silver sulfadiazine, among others. Considering the long period to reduce such injuries, the possible loss of local control and the decrease the chances of cure, is urgent need to rethink these conducts in search of a more efficient technique.
The method used was the study of prospective prognostic cohort, with 30 cancer patients treated with radiotherapy, with acute radiodermatitis grades II and III. These patients had their personal data collected and their injuries covered by the non-stick gauze, targeted and evaluated every two days, by nurses. Categorical variables were described in terms of their frequencies and percentages and were presented in tables and graphs; since the numeric variables were described as means and standard deviation.
The analysis of the data concluded that the new cover showed excellent results in the skin regeneration, acting upon the tissues through a basic barrier mechanism, maintaining an excellent wet medium for the growth of the epithelial tissue and promoting the reduction of lesions in about four days.
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