Treatment of chronic parastomal ulceration with silver sulfadiazine and hyaluronic acid: a case series Case study.

Skin complications in ostomates are widely reported and can cause physical and emotional challenges in everyday life. Chronic parastomal skin complications can be difficult to heal and cause significant pain. Two patients presented to the stomal therapy clinic for treatment and were diagnosed with c...

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Detalles Bibliográficos
Publicado en:World Council of Enterostomal Therapists Journal Vol. 44; no. 1; pp. 36 - 40
Autor principal: Carlin, Alison
Formato: case study pictorial statistics Journal Article
Publicado: Cambridge Publishing Mar2024
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Skin complications in ostomates are widely reported and can cause physical and emotional challenges in everyday life. Chronic parastomal skin complications can be difficult to heal and cause significant pain. Two patients presented to the stomal therapy clinic for treatment and were diagnosed with chronic parastomal skin ulceration. Following standard treatment of wound management, topical corticosteroid ointment and appliance review, the ulcers were either not improving or had reoccurred. Treatment with a combination cream consisting of 0.2% Hyal uronic acid (HA) and 1% Silver sulfadiazine (SSD) was initiated and both patients demonstrated complete healing. Treatment of parastomal skin ulceration with dual action cream 0.2% HA and 1% SSD was successful for these two patients, with a reduction in pain and purulent fluid noted throughout treatment, in addition to a reduced cost of treatment when compared with standard protocols.