Abstract
Aims and Objectives: To study the efficacy and feasibility of sodium hypochlorite dressings on infected wounds.
Materials and Methods: A case series study was done in a tertiary care hospital where patients having infected ulcers were kept on daily sodium hypochlorite dressings and results were tabulated.
Results: Results showed a time period of 4.6 days required for the wound to have a healthy granulation tissue with no slough and purulent discharge. Wound was found to contract by around 1 cm over a period of 3 weeks of daily dressings. A negative wound swab after 4 days of sodium hypochlorite dressings in 76% of the patients also proved it was an effective topical antibiotic. Hence it can be concluded that sodium hypochlorite dressings are an effective and cheap alternative to conventional dressings when treating patients of lower socio economic strata in tertiary care set up.
Conclusion: Sodium hypochlorite dressings were found to reduce slough, discharge, promote wound healing and cause a significant wound contracture.
Keywords: Sodium hypochlorite dressings, purulent discharge, healthy granulation, wound contracture
References
- Wikipedia contributors. (2018, April 14). Wound. In Wikipedia, The Free Encyclopedia. Retrieved 07:21, April 24, 2018, from https://en.wikipedia.org/w/index.php? title=Wound&oldid=836336327
- Bailey, H., Love, R. J. M. N., Mann, C. V., & Russell, R. C. G. (1992). Bailey and Love's short practice of surgery. London: Chapman & Hall Medical:41-42
- Stadelmann WK, Digenis AG, Tobin GR. Physiology and healing dynamics of chronic cutaneous wounds.Am J Surg. 1998;176(2A Suppl):26S–38S. doi: 10.1016/S0002-9610(98)00183-4. [PubMed]
- Trengove NJ, Stacey MC, McGechie DF, Mata S. Qualitative bacteriology and leg ulcer healing.J Wound Care. 1996;5 (6):277–280. doi: 10.12968/jowc.1996.5.6.277. [PubMed]
- Karl T. Hydroaktives stadienadaptiertes Wund management [Hydroactive, stage-oriented wound management].Unfallchirurg. 2012;115:783–791. German.
- Dakin H.D ( 1915 , Aug 28) Use of certain antiseptic substances in treatment of infected wounds The British Journal pp : 318,319,320
- Halim AS, Khoo TL, Saad AZ. Wound bed preparation from a clinical perspective. Indian J Plast Surg. 2012;45(2):193–202.
- Fonder MA, Lazarus GS, Cowan DA, Aronson-Cook B, Kohli AR, Mamelak AJ. Treating the chronic wound: a practical approach to the care of nonhealing wounds and wound care dressings.J Am Acad Dermatol. 2008;58:185–206.
- Aratani Y. Role of myeloperoxidase in the host defense against fungal infection [in Japanese].Nihon Ishinkin Gakkai Zasshi. 2006;47(3):195-199.
- Lapenna D, Cuccurullo F. Hypochlorous acid and its pharmacological antagonism: an update picture.Gen Pharmacol. 1996;27 (7):1145-1147.
- Selkon JB. Development of a new antiseptic for treating wound infection. In: Cherry G, ed.The Oxford European Wound Healing Course Handbook. Oxford, UK: Positif; 2002.
Corresponding Author
Dr Shivang Shukla
Junior Resident, Department of General Surgery,
Grant government Medical College and JJ Group of Hospitals, Mumbai, Maharashtra
Email: shivangshukla1993@gmail.com