Prevention and appropriate management of wound infection is central to promote the healing process. While not all wounds will necessitate use of systemic antibiotics, some may benefit from the use of topical antimicrobials as part of a holistic standard of care. This article describes five different cases, from China, where the clinicians used Technology Lipido-Colloid Silver Non-Adherent (TLC-Ag) dressings as part of their holistic multidisciplinary wound management strategy. The wounds discussed were mainly chronic, including two venous leg ulcers and lymphoedema ulcer, a post-amputation wound as well as a case of pyoderma gangrenosum. Managing these wounds with TLC-Ag as a part of the standard holistic multidisciplinary care provided resulted in positive outcomes for the patients.

Key words: ■ Acute wounds . ■ Chronic wounds . ■ Silver antimicrobial . ■ UrgoTul Ag . ■ Wound infection

Foot complications from diabetes mellitus are one of main causes of lower limb amputation, however, public awareness of diabetic foot care is low. A mobile app “Happy Feet” was developed,s targeting patients with diabetic foot ulcers (DFU). Patients foot awareness substantially increased after three and six months of using the application. Mean total scores between baseline and three months were significantly increased (baseline versus three months, 22.80 versus 25.54; p<0.01), and between three and six months in “examining between the toes” and “breaking in new shoes slowly” (p<0.01). Policymakers and medical professionals benefit from the mobile app by providing accurate and precise information from this group of patients.

Key words: Diabetic foot 、Mobile phone application 、   Self-care 、  Self-assessment

Hard-to-heal wounds are challenging to treat and the associated costs consistently fall on outpatient, community and home care budgets. There is a growing body of evidence that suggests the use of PICO™ single-use negative pressure wound therapy (sNPWT) can potentially help improve healing rates of wounds that are deemed as not healing and reduce associated nursing resources and costs. A 323-patient service evaluation was conducted across 17 sites in Denmark, Ireland, Sweden and the United Kingdom between 2016 and 2022. The results are presented in this article.

Authors:

Jane Hampton, Helen Meagher, Andrew Sharpe, Tim Styche and Jacqui Hughes

Jane Hampton is a Wound Consultant in Aarhus, Denmark; Helen Meagheris a Registered Advanced Nurse Practitioner in Tissue Viability, Ireland; Andrew Sharpe is Advanced Podiatrist, Salford Care Organisation, Part of the Northern Care Alliance, UK; Tim Styche is Market Access & Healthcare Economics Manager at Smith+Nephew; Jacqui Hughes is Senior Healthcare Outcomes Manager at Smith+Nephew

Chronic wounds with low healing rate generally lead to decreased in quality of life of patients, financial burden and increased morbidity rate (Järbrink et al, 2016). Thus, wound care management involving a patented 4-in-1 formulation is an aid in the management of chronic wounds. To demonstrate its efficacy, seven patients were chosen, four with a venous leg ulcer, two with a diabetic foot ulcer and 1 with a pressure ulcer. All the wounds were cleaned, debrided and then the silicon dioxide, silver ions, chlorhexidine and hyaluronic acid cream (KAdermin cream) was applied as the primary dressing, with a non-adhesive dressing as a secondary dressing. This case series demonstrates that the cream was able to reduce wound size significantly, while eliminating infection signs.

Harikrishna KR Nair is a Professor and Head of Wound Care Unit, Department of Internal Medicine, Hospital Kuala Lumpur; Nur Zati Ilwani, a SRN, Staff Nurse of Wound Care Unit, Department of Internal Medicine, Hospital Kuala Lumpur; Ling Li Ng is a Pharmacist of Y.S.P. Industries (M) Sdn. Bhd.Lumpur