Abstrak:
Wound bed preparation must be carried out in all wounds with dead tissue. This will help the physiology heal faster. Autolysis debriment is the safest way to help remove dead tissue because it is proven to be painless, easy to do, safe and reduces patient trauma. This case study aims to evaluate the use of nano colloidal silver cream and sodium hydrogel in supporting autolysis debridement in diabetic foot wounds with hard necrotic tissue. Methods a case study was applied in this study on a 42 year old female patient with a stage 4 diabetic ulcer on the left plantar. There is hard necrotic tissue with the base color of the wound being 50% black, 50% yellow. Treatment with nano colloidal silver cream and sodium hydrogel as primary dressing, changed every 3 days, for 18 days. Evaluation with photo documentation of wounds and Winners Score. The results after treatment for 6 meetings or 18 days showed changes in the percentage of the wound base with granulation tissue 80%, slough tissue 20%, a decrease in the Winners Score from 44 to 33. The conclusion of this study is that it is effective in helping to accelerate autolysis debridement in hard necrotic tissue. Safe debridement combination: mechanical debridement helps remove dead tissue more quickly.
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