Wound Treatment

Wounds are caused by trauma or skin breakdown. Wounds are considered to be acute if they are new. Wounds are considered to be chronic if they are more than 3-4 weeks old.    

Deep vein thrombosis is a serious healthcare problem that affects over 250,000 patients in the US each year.

Source: Gloviezki, Peter, ed. The Layman's Handbook of Venous Disorders. N.p.: American Venous Forum

 

Wound Care

Wound care has advanced significantly in the past 20 years and there are more options for patients and generally better outcomes than in the past. There are general principles of wound care you should consider when undergoing management.

General Principles of Wound Care

  • Keep your wound clean. Cleanse and irrigate the wound with sterile saline unless otherwise instructed by your medical professional. Clean tap water may be substituted if saline is not available1.
  • The skin around the wound is called the periwound. You can clean the periwound skin gently with soap and water but try to keep soap out of the wound bed. This can delay healing.
  • If showering or bathing, it is best to keep a waterproof dressing on the wound and then change the dressing separately. This can help reduce risk of infection and delayed wound healing.
  • Keep the wound covered with a clean or sterile dressing. Choose dressings to keep wound bed moist, but that can contain drainage appropriately. Your therapist or physician can assist you with choosing the proper dressing.
  • If your wound is worsening, see your medical professional promptly. If the wound is not making progress in healing after two weeks or is significant in size, see your medical professional for a full evaluation. If you have a wound on your feet and you are diabetic, see your physician or medical professional promptly.

To manage your wounds, we would like to introduce you to the three R’s of Wound Care: Remove, Rebuild, and Reduce.

Remove

It is normal to have bacteria on an open wound bed and all open wounds have some bacteria on them. This is sometimes okay and normal wound healing can still occur; however, it is important to remove bacteria and keep bacterial counts low to speed healing. Use of agents which can destroy the bacteria (betadine, high content silver dressings, hydrogen peroxide, etc), however, can also be toxic to your body’s cells trying to heal the wound.  Antiseptic agents can slow or even halt the healing process of a wound, especially if applied in large concentrations repeatedly.

This is where BSN medical products can help. BSN medical has a line of products called Cutimed® Sorbact® that contains DACC technology. DACC is a special hydrophobic dressing that irreversibly binds bacteria.  Because DACC technology binds and inactivates the bacteria naturally and does not kill the bacteria, toxins and cellular debris are not released into the wound bed, keeping the healing process from slowing down.  Removing bacteria from the wound bed with each dressing change will help reduce overall bacteria counts in the wound bed, so the wound can keep healing.

To learn more about how DACC technology can help REMOVE bacteria from your wound safely, visit BSNmedical.us.       

1. Fernandez R, Griffiths R. Water for wound cleansing. Cochrane Database Syst Rev 2012; 2:CD003861.
2. Di Lullo, Goria A et al, Mapping the ligand-binding sites and disease-associated mutations on the most abundant protein in the human, type I collagen, J Biol Chem 277(6):2002, 4223-4231.

Rebuild

The next step to healing any wound or ulceration is to rebuild the tissue.  Collagen is the main structural protein in connective tissue, and is in the most abundant protein in all mammals.  In fact, collagen makes up 25% - 35% of your whole body’s protein count2.  

There are numerous collagen wound dressings on the market. These dressings are made of type I collagen from an animal source. These dressings help donate collagen to the wound bed and also serve as a chemotactic factor, sending a signal out to your body to attract cells that will help accelerate the healing process and rebuild tissue. Collagen wound care dressings are appropriate once your wound bed is granulated and is free of infection. 

BSN medical has a dressing which uses a process to keep the collagen native and more intact than other dressings. This collagen dressing has been shown to be superior to other popular collagen dressings at attracting fibroblasts, your body’s cells that make collagen, to the wound bed. If there are more fibroblasts migrating to the wound bed quicker, this is likely to lead to better and quicker healing.  

To learn more about how BSN medical’s collagen dressings can help REBUILD a wound bed, visit BSNmedical.US.

Reduce

Swelling can slow the healing process. If you have swelling, oxygen released by your red blood cells and nutrients have to travel through this swollen area outside the cells to get to the cells. This means there is less oxygen available for healing.

Compression can help restore normal body homeostasis by restoring normal oxygen and nutrient delivery. Compression works by increasing the pressure on this fluid, pushing it back into the bloodstream. Reduction of swelling can not only improve oxygen delivery and healing, but it can also help reduce infection risk and severity too. By reducing swelling, you help reduce the ability of bacteria to travel through fluid planes in the space between the cells, helping to prevent and reduce infection. 

If an infection occurs in a patient who has lymphedema, the infection tends to spread quicker and be more severe. In addition to your body having a reduced ability to fight infection in the case of lymphedema due to less oxygen in the extracellular space, the bacteria are also thought to use these extracellular proteins for food and nutrients, which may speed up the infectious process.

JOBST is a world leader in compression, with over 60 years experience in compression garments and bandages. JOBST offers a full line of bandages and garments to help reduce swelling and keep the swelling from coming back. To see JOBST’s full assortment of compression bandages and bandaging alternatives, view our product catalog.

To learn more about treatment of infections and other conditions associated with lymphedema, visit LymphCareUSA.com.