Comparative Study of Nanocrystalline Silver Ion Dressings with Normal Saline Dressings in Diabetic Foot Ulcers
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 6
Abstract
ABSTRACT Introduction: Diabetic foot is a broad spectrum term which includes infection, ulceration and foot gangrene. Proper assessment of wound along with an aggressive multidisciplinary approach can reduce the risk of limb amputation. Wound dressings play an important role in diabetic foot care management. Nanocrystalline silver ion dressing is a newer modality that has been in consideration for the treatment of diabetic wounds. Aim: To analyse the effect of nanocrystalline silver ion dressings and its comparison with standard normal saline dressings in diabetic foot ulcers. Materials and Methods: This was a prospective study conducted in the Department of Surgery, Dayanand Medical College and Hospital, Ludhiana from January 2016 to June 2017. A total of 30 diabetic patients were included in the study and were equally divided into – Study group and Control group randomly. The study group received nanocrystalline silver ion dressings while the controls received daily dressings with normal saline soaked gauges. Data regarding presence of wound discharge, type of discharge, granulation tissue, changes in the size of wound and presence of slough was recorded and analysed (Chi-square tests). Results: Study group showed better outcomes with 10 Patients (66.7%) being complete responders as compared to control group where 5 patients (33.3%) were complete responders. The wound discharge shifted from purulent to serous, faster in the study group. Granulation tissue formation and slough assessment was significantly better in study group. Conclusion: Nanocrystalline silver ion dressings is a cost effective option in diabetic foot ulcer management. It decreases the period of hospitalization and reduces the burden on the health care system.
Authors and Affiliations
Varun Gupta, Gurkaran Kakkar, Angad Singh Gill, Chiranjiv Singh Gill, Manvi Gupta
Keywords
Related Articles
- EP ID EP524345
- DOI 10.7860/JCDR/2018/36691.11590
- Views 62
- Downloads 0
Familial Schwannomatosis: A Diagnostic Challenge
Schwannomatosis is a disease characterized by the development of multiple benign tumours originating from Schwann cells. Schwannomatosis is a member of the family of diseases known as Neurofibromatosis (NF). Patients wit...
Atypical Presentation of Isolated Cerebral Aspergillosis in a Renal Allograft Recipient
The immunosuppressive state in organ transplantation leads to infectious complications responsible for high mortality rate. Fungal infections account for 5% of all infections in Renal Transplantation (RT) recipients. Asp...
Extra Nasopharyngeal Angiofibroma Simulating a Mucocele: A New Location for the Rare Entity
Angiofibromas are rare, benign, but locally aggressive vascular tumours which account for 0.05-0.5% of all head and neck neoplasms. The common variant of angiofibromas of head and neck region is Juvenile Nasopharyngeal A...
Primary Early Surgical Management of Pancreatic Ascites Complicating Chronic Pancreatitis-A Single Centre Experience
ABSTRACT Introduction: The traditional method of managing Pancreatic Ascites (PA) complicating Chronic Pancreatitis (CP) was with initial conservative treatment which was associated with increased morbidity and mortalit...
Trigger Finger: A Prospective Randomised Control Trial Comparing Percutaneous Release versus Open Release
Introduction: Trigger Finger (TF) is frequently encountered problem by an orthopaedic surgeon which, if not managed, causes pain, discomfort and disability in hand function. Patient presents with pain at Metacarpo-phalan...