[Reducing skin maceration in exudative diabetic foot ulcers].
BACKGROUND
highly exudate and maceration is one of the causes of delay in diabetic foot ulcers healing. The purpose of our study was to demonstrate the effectiveness in the periwound skin maceration reduction with the use of no-sting barrier film (NSBF) (3M Cavilon).


METHODS
observational study which includes 40 patients with diabetes (29, 72.5% males) who suffer diabetic foot ulcers with maceration and exudate. It was evaluated the application of NSBF during 30 days and its correlation with maceration control and clinical wounds progress.


RESULTS
70% of the ulcers were showed healthy edge or lower exudates after 30 days of treatment (Day 0 n=8 vs Day 30 n=28 p<0.05). Good evolutions of clinical variables were recorded through the study. Fibrin tissues upper 60% of the ulcer area were recorded in 17 cases at day 0 versus 2 cases in day 30 (p<0.001). Granulation tissue presence turned of 13 cases with upper 50% in wound bed at day 0 versus 25 cases at the end of the study (p<0.001).


CONCLUSIONS
the use of NSBF for the maceration management of highly exudates diabetic foot ulcers was demonstrated effective.
Lázaro-Martínez
José Luis
JL
Universidad Complutense de Madrid.
García-Morales
Esther A
EA
Aragón-Sánchez
Francisco Javier
FJ
Año-Vidales
Pedro
P
Allas-Aguado
Silva
S
García-Alvarez
Yolanda
Y
D017719:Diabetic Foot / Q000150:complications* / Q000517:prevention & control*; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009779:Occlusive Dressings