ABOUT WOUNDS

Generally, wound is a form of damage that happened to the skin's structure and function. The wound can be caused by sharp object, traffic accident, and metabolic disorders (e.g. diabetes mellitus, kidney failure, etc). The wound’s depth and impact may vary from mild injury (scratches) to chronic wound.

There are 4 phases of wound healing, i.e.:

  1. Hemostasis
  2. Inflammation
  3. Proliferation
  4. Remodeling

 

Classification Of Wounds
Acute wounds

An acute wound is a type of wound that will heal by following the time and concept of normal healing process. With the proper handling, the patients will no longer encounter the complication during their recovery period. 

 

BURN

Burn is a particular wound caused by heat (fire, a hot object, and hot steam), chemical substance (caustic soda), electric burn, and radiation (ultraviolet light). The damage does not only affect the skin tissue, but also the muscle and bone.

Based on the depth, burn injuries can be classified as follows:

  1. First-degree burn injuries

    Indicator: the skin become red but without blisters; and it feels painful

  2. Second-degree burn injuries

    Indicator: there are blisters which consist of fluids; and it feels painful

  3. Third-degree burn injuries

    Indicator: the skin is burnt and darkened; and the patients experienced lots of painful sensation

Figure 1  Degree of skin burn, etiology, and management.

POST SURGICAL WOUND

According to the Centers for Disease Control and Prevention (CDC), post-surgical wound is divided into four types: 

  1. Clean wounds 
    • 75% of clean wound takes place during the surgery and the average of patients do not encounter serious inflammation. 
  2. Clean-contaminated wounds
  3. Contaminated wounds
  4. Dirty and infected wounds
    • The kind of wounds happened when the surgical area gets infected. 

 

dermozone™ Antiseptic Wax for Wound and Burn is effective to eliminate germs and to minimize the chances of nosocomial infection. Simply apply dermozone™ Antiseptic Wax for Wound and Burn to the skin area before the surgery starts and do not forget to do the same thing shortly before closing and stitching the wound . This product will successfully eliminate the microbes and overcome the nosocomial infections caused by the surgical process

Chronic Wound

A Chronic wound is a wound that does not heal according to the time and concept of normal healing process. These wounds have several risk factors, such as blockage of arteries, diabetes mellitus, low immune system, etc. This wound sureley requires more serious care. 

 

Diabetic Foot Ulcer

A diabetic foot ulcer is a kind of skin damage, which can be completely or partially caused by the uncontrolled blood sugar level in diabetic patients. Based on Kartika 2012, 15% of diabetic patients experience this complication1.

If you have diabetic foot ulcer, dermozone™ is the right choice, because of its effectiveness in eliminating the harmful germs in the wound and its ability to remove the dead or necrotic tissues. Therefore, the wound cleansing process, such as debridement process will be easy to do.

dermozone™ offers other benefits such as removing pus inside the wound, cleansing the wound, as well as helping the wound to gradually heals until the wound is perfectly closed.

Figure 2  Usual locations of ulcers in diabetic foot.

 

Decubitus Ulcer (Pressure Ulcer)

Decubitus Ulcer or pressure ulcer is typically skin damage which is caused by the pressure of lying on bed or sitting in wheel chair for a long term periode. The pressure usually develop over a bony prominence. Pressure ulcers are commonly found in patients with restricted mobility, chronic disease and in older patients. The pressure affects the blood circulatory system, resulting lack of oxygen in the skin (called ischemia). Ischemia will lead to an ulcer development.

Figure 3 Predisposition area. 

 

Malignant Wound

The malignant wound is the result of the infiltrating of cancerous cells to the skin and its supporting blood and lymph vessels causing the loss in vascularity which then lead to tissue death. The lession could be a result of a primary cancer or a metastasis to the skin from a local tumour or from a tumour in a distant site. The body parts which are frequently affected by the malignant wounds are skin, neck, breast, crotch, and head. The characteristics of these wounds are the strong rotten odor, permanent pain, and easy bleeding. 

 

 

Refference

1 Kartika RW. 2012. Pengelolaan gangren kaki diabetik. CDK 44(1):18-22.

Nosocomical Infection

Nosocomial infection is an infection that is acquired in a hospital or other healthcare facility. Methicillin Resistant Staphylococcus aureus (MRSA); Escherichia coli ESBL (Extended Spectrum Beta Lactamases); Klebsiella pneumoniae ESBL (Extended Spectrum Beta-Lactamases); CRE (Carbapenem Resistant Enterobacteriaceae) and KPC (Klebsiella pneumoniae Carbapenemase), and Candida fungi are common germs causing the nosocomial infection. 

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