Clinical efficacy of crushed prednisolone and hydrocolloid powder in the primary treatment of peristomal pyoderma gangrenosum and correlation to in vitro drug release data.

We evaluated the primary application of crushed prednisolone combined with hydrocolloid powder for clinically diagnosed peristomal pyoderma gangrenosum (PPG). We present our data on this cohort and follow‐up of our previous patients. Of the 23 patients who were commenced on this regime, 18 healed (7...

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Publicado en:International Wound Journal Vol. 21; no. 3; pp. 1 - 9
Autores principales: Pearson, Wendy Ann, Prentice, David Andrew, Lim, Lee Yong, Gianoncelli, Olivia, Hashiguchi, Alice, Parisella, Tahlia Kate, Ta, Jade Thien
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
      vid: 21
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/iwj.14808
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        atl: Clinical efficacy of crushed prednisolone and hydrocolloid powder in the primary treatment of peristomal pyoderma gangrenosum and correlation to in vitro drug release data.
      aug:
        au:
          Pearson, Wendy Ann
          Prentice, David Andrew
          Lim, Lee Yong
          Gianoncelli, Olivia
          Hashiguchi, Alice
          Parisella, Tahlia Kate
          Ta, Jade Thien
        affil: Royal Perth Hospital, Perth Western Australia,, Australia
      sug:
        subj:
          Pyoderma Gangrenosum Drug Therapy
          Prednisolone Therapeutic Use
          Colloids Therapeutic Use
          Powders
          Drug Therapy, Combination
          Drug Efficacy
          Human
          In Vitro Studies
          Prospective Studies
          Funding Source
          Descriptive Statistics
          Treatment Outcomes
          Comorbidity
      ab: We evaluated the primary application of crushed prednisolone combined with hydrocolloid powder for clinically diagnosed peristomal pyoderma gangrenosum (PPG). We present our data on this cohort and follow‐up of our previous patients. Of the 23 patients who were commenced on this regime, 18 healed (78%). Twenty‐two patients commenced on this regime as the primary treatment for their PPG, and for one, it was a rescue remedy after failed conventional therapy. Four patients with significant medical comorbidities failed to heal and one had their stomal reversal surgery before being fully healed. The proposed treatment regime for PPG is demonstrated to be effective, inexpensive and able to be managed in the patient's usual home environment. In vitro drug release analysis was undertaken, and data are presented to provide further insights into the efficacy of this regime.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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