Please use this identifier to cite or link to this item: https://www.um.edu.mt/library/oar/handle/123456789/54578
Title: A comparative pilot study of dressings in the treatment of diabetic foot ulcers in an outpatient wound clinic in Malta.
Authors: Cremona, Marilyn
Keywords: Foot -- Ulcers
Bandages and bandaging
Wounds and injuries
Diabetes
Hospitals -- Malta
Issue Date: 2009
Citation: Cremona, M. (2009). A comparative pilot study of dressings in the treatment of diabetic foot ulcers in an outpatient wound clinic in Malta (Bachelor's dissertation).
Abstract: Objective This study evaluated and compared the effectiveness of Lyofoam dressing against the regular use of Inadine & Lyofoam dressing. The objective was to identify whether Inadine antiseptic dressing is needed in the management of clinically-non-infected diabetic foot ulcers on a regular basis. Research design and methods A quasi-experimental study using a matched-subject design was conducted at the Diabetes Out-Patients Clinic Mater Dei Hospital, Malta from August 2008 to November, 2008. A total of20 patients living with Type-2 diabetes and presenting with a newly diagnosed non-infected diabetic foot ulcer were selected for this study. The study population was matched for confounding variables influencing diabetic wound healing and divided into two groups- the experimental group (n=lO) which was treated with Inadine antiseptic dressing (10% PVP-I) in combination with a foam dressing, Lyofoam, and the control group (n=lO) which was treated with Lyofoam. Subjects were interviewed to collect demographic data and relevant medical history. Further data on medical history was obtained from the medical records held at Mater Dei Hospital. The acetate tracing method of wound measurement and the Wagner Ulcer Classification System were used to assess wound healing. Each subject was reviewed every 2 weeks for a period of 6 weeks. Results The study found no significant difference (P 0.466) in wound healing between the experimental group and control group although ulcers in the experimental group showed a slight higher mean percent reduction in wound area (experimental vs. control 98.33: 95.67). No significant difference in mean percentage area reduction was found between neuroischaemic and neuropathic ulcers (P 0.562). Moreover, no significant difference in healing was found between plantar and apical ulcers (0.120). Conclusions The two methods of treatment yielded comparable results throughout the whole period of study; there was no evidence that the inclusion of Inadine promotes wound healing. This indicates the reconsideration of using Inadine antiseptic dressing in the treatment of non-infected foot ulcers in the Diabetes Foot Clinic in Malta.
Description: B.SC.(HONS)PODIATRY
URI: https://www.um.edu.mt/library/oar/handle/123456789/54578
Appears in Collections:Dissertations - FacHSc - 2009
Dissertations - FacHScPod - 2009

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