wound care - page 3

I was wondering if anyone has any ideas on healing a stage three ulcer. It is located on the bunion of a 83 year old patient. She is IDDM, and currently her treatment is panafil. medicare will... Read More

  1. by   Rand
    Hi Gilda,

    OK, enough with the praise :spin:.

    Biafine is OTC. After a quick review of the Biafine site it appears Medix claims Biafine provides:
    * Deep Dermal Hydration
    * Selective Macrophage Recruitment
    * Emollient Action

    There's a list of several studies and expert reports, but unfortunately it doesn't appear that there are any RCT's. I suppose you can have the attitude of Bandaid Expert and use something 'cause you know it works.


    PS The internet is a tremendous resource. And it's only going to get better.
  2. by   shygirl

    Okay, no more praise. I couldn't help myself. What is RCT's?

  3. by   Rand
    Randomized Controlled Trial

    Best is placebo controlled, blinded rct. For example in the case of Biafine...

    A significant number of patients are selected with wounds. They are randomly separated into 3 groups, for example names drawn from a hat (randomized). One group is treated with plain hydrogel and gauze (control), another is treated with Biafine and the third is treated with a cream that looks, feels and smells just like Biafine, but it's just the cream base of Biafine without the active ingredients (placebo).

    Best of all, no one doing the research knows which is the Biafine or the placebo (blinded).

    Guess what?... Very few studies exist like this for wound care products.



    editing note: changed the "RCS" to "RCT".
    Last edit by Rand on Jun 3, '02
  4. by   shygirl

    Hi. We just got an admit from home today. She has Cellulitis of the lower R leg. I made sure that she was started on ABT as most cellulitis is bacterial (strep) and we make sure we elevate the extremity to avoid dependant edema. Anyway, MD ordered heat applications. I know heat increases blood flow to the affected area but, wouldn't cool compresses slow down the chances of introducing this organism throughout the bloodstream?

    Thanks, Gilda
  5. by   shygirl
    Rand, OOPS! Forgot to say thanks for the RCS info. Gilda
    Last edit by shygirl on Jun 2, '02
  6. by   Rand
    Hi Gilda,

    Whoops, just changed the "RCS" to "RCT" on my prior post.

    Hmm, cellulitis of the lower extremity... Does the patient have distal pulses? I ask because elevating an ischemic limb may be contraindicated. I don't think adding warmth to infected skin increases the risk of sepsis. Increasing circulation as you described might help with antimicrobial penetration and clear the infection quicker.

  7. by   shygirl
    Thanks for all your help!
    Last edit by shygirl on Sep 4, '02