Treatment of four rare & difficult wounds requiring exceptional wound bed preparation

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“Wound bed preparation focuses on debridement, bacterial balance (management of wound exudates) and the overall health status of the patient. Its ultimate aim is to ensure a good granulation tissue leading to complete closure. In this article, we would like to present the wound care regimes for two patients suffering from rare and potentially difficult wounds to treat and heal.” “In each case, the wounds were heavily contaminated with bacteria i.c. MRSA, Enterobacter sp., Proteus sp., loaded with necrotic tissue and required an exceptional level of cleaning and wound bed preparation before further treatment could progress. Cleaning in each case was carried out using chlorhexidine gluconate 0.05% hydrotherapy and a hydro-alginate gel, Flaminal®. In both cases, the wounds were notably cleaner within a week and the wound care regime could be reduced. Wound bed preparation was such that further treatment i.e. skin grafting could be performed after four weeks.