OPTIMIZATION OF TREATMENT OF SEPTIC WOUNDS IN PATIENTS WITH DIABETIC FOOT ULCERS

• Main Authors: B. S. Sukovatykh, T. A. Pankrusheva, S. A. Abramova
• Format: Article
• Language: Russian
• Published: Pavlov First Saint Petersburg State Medical University 2018-01-01
• Series: Вестник хирургии имени И.И. Грекова
• Subjects: синдром диабетической стопы; гнойная рана; diabetic foot ulcers; suppurative wounds
• Online Access: https://www.vestnik-grekova.ru/jour/article/view/526

An analysis of complex examination and treatment was made in 116 patients with necrotic suppurative complications. Patients were divided into two statistically homogeneous groups. An ointment «Levomekol» was used in control group and immobilized forms of chlorhexidine bigluconate was applied in the main group. The dynamics of traumatic process course was learned by planimetric, bacteriological and cytological methods. The percentage of area reduction of wounds in the main group was higher, than in control group: on the third day - on 1,59%, on the fifth day - on 3,16%, on the seventh day - on 5,86%, on the tenth day - on 6,83%, on the fourteenth day - on 7,80%, on the twenty-first day - on 7,62%. A microbial contamination of wounds (generated colony units in 1 g of tissue) was less, than in control group on the third day of treatment - on 1,6×106, on the fifth day - on 26,2×105, on the seventh day - on 77,8×10, on the tenth day - on 2,2×104 and on the fifteenth day - on 0,3×10³ (p