aeruginosa, 2, 34, 35 and 36 damage to developing granulation tissue, hindrance of migrating epidermal cells, maceration,
2 and 3 and increased venous hypertension and vascular congestion. 2 and 41 Evidenced-based-wound management continues to increase and along with that the evaluation and re-evaluation of biophysical energies in light of evidence, outcomes, and potential harm. Whirlpool, initially harnessed as a physical energy, which could simultaneously do mechanical debridement and cleansing, does not have sufficient evidence to remain among viable choices for patient care, especially when one considers the options of single-patient-use-interventions which eliminate the INNO-406 potential for cross-contamination. Our responsibility as health care practitioners is to minimize risks for our patients. Based on the evidence, utilizing readily accessible modalities and alternatives to WP therapy in wound care is the most credible option. The risk of nosocomial infection associated with WP therapy is too significant to overcome the limited evidence supporting its benefits in wound care. In the presence of several treatment alternatives beta-catenin inhibitor (e.g., PLWV), evidence-based practice (via best-available scientific evidence) does not support the use of WP for wound care. “
“A 75 year-old female presented to the wound center with
right leg ulceration and cellulitis due to untreated venous insufficiency. The patient was seen in the emergency room earlier in the day and blood test showed a white blood count of
12,000 and Doppler ultrasound was negative for deep venous thrombosis. Upon being seen in the wound care clinic, the patient was started on doxycycline 100 mg PO BID to treat her cellulitis and was given local wound care of absorptive dressing with compression therapy to treat her leg wound. She was also told to avoid sun exposure while on doxycycline. On her next visit Rebamipide 1 week later, it was noted that her right hand had first and second degree burns on the dorsum of the hand (Figure 1). The patient denied any contact with heat source and said that she was traveling in the car as a passenger and wasn’t aware that her right hand was exposed to the sun for 1 h. The patient stated she developed the injury that night. As the patient was on doxycycline for 1 week, the diagnosis of a hypersensitivity injury due to sun exposure was made. She was started on local burn care including daily dressing change to the hand using silver sulfadiazine cream and dressing. The patient’s hand injuries healed in 1 week later (Figure 2) along with the cellulitis. The patient’s leg ulcer healed 2 weeks later and she now wears compression stockings. Doxycycline is a broad spectrum antibiotic effective against both gram positive and negative bacteria. This is performed by allosteric binding of the amino acyl T-RNA site at the receptor site halting the creation of the protein on the 30S ribosome.