Abstrak:
Indonesia has the fifth highest prevalence of diabetes mellitus. In the world states that diabetes mellitus is a risk factor for active tuberculosis (TB). Currently, TB in Indonesia is the third highest in the world. The results of DM screening for TB complications show a high prevalence of around 5.4% - 44.0%. Asri Wound Care Centre Medan has treated patients with diabetic foot wounds complicated by TB in two cases and treated until recovery using Silversil Clorex Powder Spray (SCX) contain consisting of silicon dioxide optimized with silver ions and chlorhexidine primary dressing. Objective after applying the primary dressing SCX, it is expected to accelerate the healing process of diabetic foot ulcer with TB complications. Method wound care was performed using the concept of Moisture balanced using the principle of TIME Management. Wound care was performed twice a week. The first thing to do was to wash the wound with normal saline, then assess the wound using the Winner Scale. Perform mechanical debridement on necrotic wound tissue, then choose a wound dressing that is in accordance with the wound condition using primary dressing SCX and Polyurethane Foam as a secondary dressing. Next, provide fixation- compression therapy with 2 layers bandages (orthopedic wool and Cohesive bandage. Result after using the primary dressing SCX for 4 (four) treatments, the results of wound care were very significant where there was no strong wound odor compared to when not using the SCX application. Based on the results from the Winner Scale, by the 4th treatment, the wound had epithelized. Conclusion the application of primary dressing SCX in diabetic foot wound patients with TB complications is very good to use and can accelerate the healing process of diabetic foot wounds.
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