Abstrak:
Diabetes melitus continues to increase every year and is a threat to world health. The most common complication in DM sufferers is diabetic ulcers. Diabetic ulcers are one of the causes of disability and death in DM sufferers. Diabetic ulcers can cause infection, amputation, and even death of the patient. Therefore, effective treatment methods are essential to treat diabetic ulcers. Objective this case study aims to determine the combination model of ozone therapy with hydrofiber (silver dressing) as a healing strategy for diabetic ulcers. Methods this case reports a 45 year old man with a history of type 2 diabetes for 1.5 years who had experienced a diabetic ulcer of the right extremity for 1 month on the instep with a size of 6 × 3 × 1 cm. The patient's ulcer was infected with Staphylococcus aureus. Despite routine diabetic ulcer care (bandage changes twice daily and intravenous antibiotic therapy), the patient's diabetic ulcer did not improve using standard methods. The patient was then referred to the Al-Muchlisin Clinic Wound Polyclinic. In the first step, necrotic tissue is cleaned with TIME management. Next, the patient is given ozone therapy at a dose of 70 µg/dL over a period of 30 days in 10 sessions (one 20 minute session every 3 days). Between each session, the patient's wound is bandaged using Hydrofiber (Silver Dressing). Results after two months of treatment, the patient's diabetic ulcer healed, and the patient was discharged from our service in good condition. Conclusion this case report study shows that ozone therapy combined with hydrofiber (silver dressing) is an effective approach to improve healing of diabetic ulcers. Therefore, wound care practitioners can utilize it as an adjunct in the treatment of diabetic ulcers.
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