Abstrak:
Slough is a form of necrotic tissue that contains materials such as fibrin, leukocytes, dead cells, microbes and proteinaceous materials. The presence of slough in wounds can prolong the inflammatory phase and inhibit the wound healing process. Slough that sticks to the wound bed attracts bacteria to the wound bed, increasing the odor and exudate in the wound. Proper wound bed preparation or debridement must be performed to speed healing. One debridement that can be done is enzymatic debridement using vibrio alginolyticus collagenase and hyaluronic acid. This case study aims to examine the effectiveness of enzymatic debridement using Vibrio alginolyticus collagenase and hyaluronic acid in diabetic foot wounds. Methods a case study was conducted on a 42 year old female patient with diabetic foot wounds. Wound criteria, 90% of slough attached to the wound base. The research used a primary dressing in the form of vibrio alginolyticus collagenase and hyaluronic acid. Evaluation of treatment for 2 weeks using BWAT which focuses on the Necrotic Tissue Type and Necrotic Tissue Amount points. Results bsed on the results of the 2 week evaluation, it was found that the Necrotic Tissue Type, previously Loosely adherent yellow slough, became non-visible, then the Necrotic Tissue Amount 75% to 100% of wound covered became non-visible. Conclusion wound bed preparation is important to speed up the wound healing process, enzymatic debridement using Vibrio alginolyticus collagenase and hyaluronic acid is one of the debridement techniques that can be carried out. Clinically, vibrion alginolyticus collagenase and hyaluronic acid are effective in accelerating wound bed preparation.
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