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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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Published in:World Council of Enterostomal Therapists Journal Vol. 44; no. 1; pp. 36 - 40
Main Author: Carlin, Alison
Format: case study pictorial statistics Journal Article
Published: Cambridge Publishing Mar2024
Online Access:View this record in EBSCOhost
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      dt: Mar2024
      vid: 44
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      pub: Cambridge Publishing
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        10.33235/wcet.44.1.36-39
        176165401
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      tig:
        atl: Treatment of chronic parastomal ulceration with silver sulfadiazine and hyaluronic acid: a case series Case study.
      aug:
        au: Carlin, Alison
        affil: Stomal Therapy Nursing, Stomal Therapy CNC, Knox Private Hospital, VIC, Australia
      sug:
        subj:
          Skin Ulcer Diagnosis
          Skin Ulcer Drug Therapy
          Wounds, Chronic Drug Therapy
          Silver Sulfadiazine Therapeutic Use
          Hyaluronic Acid Therapeutic Use
          Drug Combinations Therapeutic Use
          Peristomal Skin Care
          Wound Care
          Female
          Aged, 80 and Over
          Male
          Creams
          Health Care Costs
          Wound Healing
          Urinary Diversion Adverse Effects
          Ileostomy Adverse Effects
          Hyaluronic Acid Administration and Dosage
          Silver Sulfadiazine Administration and Dosage
          Treatment Outcomes
          Aged, 80 & over
          Female
          Male
      ab: 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.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        statistics
        Journal Article
      ougenre: Article
    language: English
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