Ukrainian Scientific Medical Youth Journal (Apr 2016)
THE USE OF BACTERIOSTATIC DRAINAGE BANDAGES TO COMPLEX SURGICAL TREATMENT OF PATIENTS WITH NEUROISCHEMIC DIABETIC FOOT
Abstract
Summary. Introduction. Diabetic foot is infection ulcer and / or destruction of deep tissues associated with neurological pathological changes, the deterioration of the main blood flow in the arteries of the lower limbs of varying severity and osteoarthropathy. Wound dressings must fulfill three main functions: to absorb the discharge from the wound, containing metabolic products, microorganisms and toxins; ensure optimal water, air and heat exchange between the wound and the environment; isolate the wound and thus prevent the infiltration of microorganisms from the outside. So, the question becomes topical application of wound dressings, which has antibacterial properties, provides optimal conditions for wound healing and atraumatic to the surface. Materials and methods. We observed 30 patients with type 2 diabetes with neuroischemic diabetes foot. The control group was represented by 30 patients. According to age, gender and comorbidity group were representative. Patients of the main group divided into two subgroups. The first subgroup includes patients with trophic ulcers of lla-IIIa classes, according to the Wagner classification. The second subgroup includes patients who underwent plastic closure of the wound defect. Patients of both subgroups and the control group patients received standard treatment. Patients first subgroup local treatment of wounds have been improved use as a wound covering bacteriostatic drainage bandages. Patients second subgroup instead of sterile gauze used bacteriostatic draining bandage as a wound covering for covering the transplanted skin graft. Results and its discussion. In the study of the microflora of wounds it found that, typically, all microorganisms were associations, which include various combinations of Gram positive and Gram-negative bacteria. Bacteriostatic draining bandage has powerful antibacterial properties and effectively prevent re-infection of the wound in comparison with the usual sterile gauze covering. atraumatic dressings to prevent skin flap trauma during dressing, and sorption properties allow the wound to maintain an optimal environment for healing him. Conclusions. The use of bacteriostatic drainage bandages to complex surgical treatment of patients with neuroischemic diabetic foot can effectively and controlled care for the wound. Bacteriostatic draining bandage has a pronounced local antimicrobial effect compared with gauze covering the wound. Active sorption of exudate from the wound can significantly speed up the change of wound healing phases. Atraumatic dressings to prevent skin graft trauma during dressing, and sorption properties allow the wound to maintain an optimal environment for healing him.
