RESEARCH ARTICLE
Pressure Ulcer Associated with Critical Colonization Successfully Treated by Transient Usage of Cadexomer-Iodine: A Case Report
Shigeki Inui1, *, Toshiko Harada2, Satoshi Itami1
Article Information
Identifiers and Pagination:
Year: 2013Volume: 7
First Page: 19
Last Page: 21
Publisher ID: TODJ-7-19
DOI: 10.2174/1874372220130722002
Article History:
Received Date: 23/04/2013Revision Received Date: 2/07/2013
Acceptance Date: 3/07/2013
Electronic publication date: 23/8/2013
Collection year: 2013
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
A 56-year-old Japanese man hospitalized for schizophrenia and depression developed pressure ulcer on his greater trochanter due to a long-term bed rest. In spite of applying 0.003% alprostadil alfadex ointment for two months, the ulcer was not improved. Because there was some purulent discharge, we examined semi-quantitative swab bacterial culture from the ulcer and subsequently detected quadrant III of bacteria. Then, 0.9% cadexomer-iodine ointment was applied once a day, resulting in decrease of the discharge and only quadrant I of bacteria culture. Thereafter, by application of polyurethane foams for two months, the wound was completely epithelized. The remarkable acceleration of wound healing after using cadexomer-iodine ointment suggested the initial critical colonization, which might have caused delayed healing.
