CS14-087 A Winning Wound Combination

Maureen W. McCarthy, BSN, RN, CWON1, Kerri Giannino, RN, BSN, WOCN1 and Virginia Capasso, PhD, ANP-BC, CWS2, (1)General Surgery, Massachusetts General Hospital, Boston, MA, (2)Massachusetts General Hospital, Boston, MA
In our outpatient wound practices located in a large urban teaching hospital, dealing with chronic wounds is an every day occurrence.  It can be frustrating when chronic wounds stall in the progression toward healing. We have noted a unique combination of commonly used products seem to have a synergistic effect when used together.  When combining collagenase, mupirocin and PHMB (Polyhexamethylene Biguanide) impregnated antimicrobial gauze, stalled wounds debride faster and resume healing.  It appears to address many issues at once, devitalized tissue, bioburden and exudate management to promote wound healing.

     The poster will display many quality digital wound photos of selected patients, between six and ten, and the progress made while utilizing this wound product combination.  The wounds are of various etiologies: vascular; traumatic; and graft versus host, for example.  The patient examples also include a sampling of ages, and co morbidities.  After using many wound care products on these wounds (these products individually, silver dressings, cadexomar iodine products, and honey based products), there was a remarkable change after initiating this winning combination protocol.  We have noted no negative effects, no increase risk of infection, no increased pain or increased exudate.  We have used the combination for various durations with same good results.