4400 The Role of Moist Therapy in the Treatment of Infected Wounds:a Case Series

Aihua Chen , No.2 Hospital Affiliated to Wenzhou Medical College, ET Nurse, Wenzhou, China
Objective: This poster   summarizes three cases  using moist therapy to successfully heal patients with large infected wounds by an ET Nurse in China.
Methods: Three cases of patients with large infected wounds resistant to healing are reported.  Co-morbidities included chronic illnesses and immunosuppression.  These challenging wounds were treated using gel and silver foam dressings.
Results:  In all cases, the complex wounds were healed. The use of moist therapy was effective in significantly shortening the healing time.
Cases:
  1. A 21-year old female was admitted with a wound infection secondary to systemic lupus erythematosis (SLE).treatment with chemotherapy and steroids. A16x19cm infected wound on her  right thigh and lower abdomen was positive for herpes zoster. Wound management over two weeks with dry therapy, erythromycin ointment, bovine fibroblast growth factor spray, and infrared light were unsuccessful. New gel and silver foam dressings were combined.  The infection was controlled, the wounds healed in two weeks, and the patient was discharged.
  2. A 55-year-old female with a history of diabetes mellitus was hospitalized in a community hospital for 3 months with a wound positive for herpes and staphylococcus epidermis. Treatment was unsuccessful and the patient was transferred her to the author’s institution with large, skin ulcerations and wounds on both legs and feet. Her blood glucose was controlled and wounds were treated with gel and silver foam dressings which were changed every 3-4 days. Foot  pain was relieved and her wounds totally healed in 20 days.
  3. A  35-year old male with a two year history of aplastic anemia, complicated with infections between the fourth and fifth toes on both feet for one year, had been treated unsuccessfully by numerous physicians using erythromycin ointment and metronidazole.  ET RN treated him with gel and silver foam dressings resulting in healing the wounds in four weeks.
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