Clinical Case - Necrotic Fasciities

      WOUNDS INFECTED NECROTIC FASCIITIES

 

In the treatment of infected wounds the secretion culture and antibiogram should be routine procedure. 

According to the bacterial aggressiveness and to the patientís nutritional and immunological state, a simple cellulitis can develop into extensive, deep cutaneous and systemic infections, the surgical debridement of the necrotic material should therefore be frequent and repetitive

The hyperbaric oxigentherapy (HBO) and the ozonotherapy is suitable as helping treatment in complex lesions infected as in case of necrotic fasciities, because they aid in the control of the infection and it has antimicrobiano and angiogenic.

Several healing and coverings present bactericide action and they can be used as helping of the specific antibioticotherapy, for example: 
-
silver sulfadiazine and cerio
nitrate
 
-
activated coal 
- o
il or cream ozonizated.

The ozonotherapy can be used topicamente through the breakup of the ozone in aqueous and oleaginous solutions. 

The wounds cannot they be also washed with physiologic saline solution (0,9%) "enriched" with bactericide substances, as:  
-
ricinoleic acid (derived of the castor oil Ricinus communis) diluted in physiologic saline in the proportion of 1:4 (solution pattern);
-
papain 2% diluted in physiologic saline;
-
ozone: through the employment of physiologic ozonizated.


 

SEE

Founier Syndrome


Hyperbaric
Oxygentherapy

ALSO SEE

DRESSING and COVERINGS
    - Bioperoxoil
    - Linoleic Acid
    - Ricinoleic Acid

     - Papain
    -
Collagenase
    -
Calcium & Sodium Alginate
    - Activated Coal & Silver

To KNOW MORE...

It Consults the Feridologo's Book - 2006
Santos - S„o Paulo - Brazil.