In an effort to contain costs and provide effective wound care, it was apparent that a trial of debridement products was needed to evaluate efficacy and efficiency.
Purpose:
The purpose of this presentation is to illustrate the evaluated effectiveness of an inexpensive debridement product, Leptospermum Honey on full thickness wounds.
Objective:
The goal is to establish that the rate of time an inexpensive debridement product will debride full thickness wounds will be within similar or less time as the present enzymatic debridement product.
Methodology:
Case Study #1: 63-year old male with history of hypertension, admitted with septic shock secondary to acinetobacter pneumonia, complicated by salmonella bacteremia and clostridium difficile colitis. Patient developed a stage III pressure ulcer to occipital area. Outcome: Resolved.
Case Study #2: 54-year old female with history of coronary arterial disease, peripheral arterial disease, diabetes, hypertension, congestive heart failure and left atrium deviation. Patient developed a necrotic heel ulcer. Outcome: Eschar debrided revealing granulation tissue.
Case Study #3: 50-year male old history of congestive heart failure, methamphetamine abuse, gastrointestinal bleeding and deep vein thrombosis. Developed severe untreated ulcerations on feet and legs over 3 months prior to hospitalization. Outcome: Eschar debrided revealing granulation tissue.
Case Study #4: 51-year old male paraplegic with chronic sacral and ischial pressure ulcers previously treated with surgical muscle flaps. History of osteomyelitis and is receiving long-term antibiotics. Outcome: Slough debrided revealing granulation tissue.
Photos will be presented.
Results:
Thirty-nine patients started in the trial; however, 14 could be tracked due to long hospital stay. All 14 patient’s wounds showed improvement or resolved with Leptospermum Honey.
Conclusion:
Leptospermum Honey appears to be an effective autolytic debrider averaging 11 days after initial application to show improved results. Leptospermum Honey proved to be cost effective on candidates during our trial.