[Fournier's gangrene, a battle won. Traditional cures versus a polyhexanide solution].
This article won the top place in the Third Prontosan Scientific Prize in 2008. Fournier's Gangrene is a rare process having an unknown origin which affects soft tissue in the genital and perirectal area. The authors describe the case of a 61 year old patient suffering from this disease, the recommended treatment by the Nurses' Consulting Office for Bed Sores, or Decubitus Ulcers, and Chronic Skin Ulcerations, and the patient's evolution. The medical team carried out a complete evaluation of this patient and his/her injury and took a sample to make a surface culture from. After this initial evaluation, the medical team's first recommendation was to apply treatment consisting of using polyhexanide combined with a calcic alginate dressing to control oozing; the objective of this treatment is to clean and decontaminate the wound and to provide the optimum conditions for a correct cicatrisation process in the least time possible. After 58 days undergoing treatment, the affected area did not show any sign nor symptom of infection and was practically finished with the cicatrisation process. The use of polyhexanide, in this case, proved to be the ideal therapeutic option to clean, decontaminate and maintain the conditions optimum for a correct cicatrisation of this wound.
Rodríguez Cancio
M Concepción
MC
Consulta de Enfermería de Uleras por Presión y Heridas, Hospital Universitario Son Dureta, Palma de Mallorca. crodriguez@hsd.es
Verdú Moresco
Aránzazu
A
Lorente Fernández
Gemma
G
D001645:Biguanides / Q000627:therapeutic use*; D018934:Fournier Gangrene / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012996:Solutions
D001645:Biguanides; D012996:Solutions; C031233:polihexanide