Abstrak:
Global prevalence among diabetes sufferers is estimated around 3 - 13%, increasing with age and duration of diabetes. The IDF estimates that there were 537 million people living with diabetes globally in 2021, and this number will increase over than 700 million people by 2045. Diabetics have a risk up to 40% of undergoing lower extremity amputation, while the lifetime risk of developing DFU is around 25% and incurs high health care costs. Topical Oxygen Therapy (TOT) offers the potential to reduce costs by providing better and more durable wound healing and reducing recurrence rate is up to 83%. The application of TOT is inefficient if there is biofilm above the granulation tissue. Biofilms can reform within hours, their presence can be assumed to be the main barrier and cause of hard-to-heal wounds. The JWC consensus document in 2022 released a structured approach to overcome biofilm barriers to healing, called the 4 steps of wound hygiene. After implementing wound hygiene, 80.3% of respondents reported an increase in healing rates. Result DFU accompanied by infection healed quickly in 9 meetings and reduced the high cost burden. Conclusion
Using a collaboration of wound hygiene methods and topical oxygen therapy in DFU healed after treatment for 4 weeks which is carried out every 3 days.
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