jmarriednluvnit

My husband has a stage 4 ishial ulcer w/ now chronic osteo of MRSA, he's had 2 failed anti-biotics, Cubicin and Zyvox, he's allergic to Vanco, what's our next step, he usually deals with the VA but they aren;t being very helpful we had to fight for a week before they'd give him the Zyvox, so we're looking outside the VA system to try to find options. Any suggestions would be greatly appreciated!

First I am not an actual nurse, but from what my husband's Dr. ID doc have told me No if the infection is not treated you cannot heal the wound, even if said infection is in the bone.

I found it while looking up info on wound VACs while trying to get one for my husband:) What do ya know the site was very helpful and now he has one ordered!!!! YEAH!!!!!!!!

His pre albumine was low, I'm not sure on numbers, he has roho quadtro air cushion and we have a SAM mattress self adjusting, kinda like the air mattresses w/ a memory foam topper and wool mattress cover. This is the first pressure soer he has had since his injury in Nov. of 2002. It wasn't caused by the normal pressure but rather a masseration treated with the wrong dressing ( the only one I had at the time). Guess we need to start powdering his bottom, though I have been told powder is no good for vent patients, and I myself am allergic to most.

My husband had one placed when he was in patient back in March and had diareah, due to anti-biotics, but the problem was the placement of a stage IV pressure sore so close to the backside and in direct line of fire of any stool, it already had ecoli and MRSA, so they were watching for C dif, the bag they put on him actually was like a foley it was a rectal tube, but soft and it had a balloon inside that kept it in place and kept it from leaking. The stool collected in a foley type bag. The rectal bags don't work as well on him when he was first injured about 3.5 years ago they placed several of those bags like Karens links show, but he just blew right through them. The one he had placed this time was a GODsend for sure, 8 bed and dressing changes in 6 hours was way too much for him to take he's a C2-3 Vent dependant quad. After they placed that bag no more bed changes and back BID dressing changes.

My hsband has a stage 4 with osteomyeltis in the ishium area ( sort of) top of thigh, crease of leg and bottom of butt cheek it's about 4 x 4 x 4.6 . The skin around the wound kept masserating due to massive amounts of drainage even with using cal. alginate and tegaderm, as well as mepilex foam dressing to collect the drainage. He thought the barrier cream would be a good thing to use only around the egde of the wound to try to keep the masseration to a minimum which it seems to have worked is this a good idea or not. I would appreciate any help.