Education

STAND OUT with Certificate in Clinical Wound Care

Healthcare professionals with knowledge in complex wound care are in great demand. As more and more complicated wound cases surface, it is paramount to have professionals equally competent and qualified to face these challenges head on.

The Certificate in Clinical Wound Care is the only programme of its kind in Malaysia which provides healthcare practitioners with the specialised knowledge and proficiency required to work in a practice setting with patients impacted by complex wounds resulting from a variety of disease pathologies and factors.

The programme focuses on topics ranging from understanding the anatomy and physiology of wound healing till the choice of dressing and offloading as well as a thorough exploration on the management of various types of complex wounds. Effective wound management requires detailed diagnosis and treatment by a capable and qualified professional. Upgrade your skills and get recognised today. Enrol for the Certificate in Clinical Wound Care programme.

Fifty-Patient Study Evaluating the Efficacy of Modified Collagen With Glycerin in Periwound Skin Management

The management of chronic nonhealing ulcers pose a great challenge because they are associated with morbidity and increased costs. This report presents the observations of standard management along with application of modified collagen with glycerin (MCG) in the periwound area for management of nonhealing wounds. This observational report included 50 patients (33 male, 17 female) aged 24 to 94 years having nonhealing wounds. All wounds were treated using standard treatment protocols (TIME concept), whereas the periwound severity was assessed using the Harikrishna Periwound Skin Classification (HPSC). All patients received once-daily application of MCG lotion directly in the periwound areas and compression bandaging until there was complete wound healing.

Patient compliance was ensured by regular follow-up and counseling. All diabetic patients were counseled to ensure glycemic control during the entire follow-up period. The criteria used for wound healing were based on clinical observation, and proper epithelialization of the wound was the end point. The median age of the wounds was 12.0 weeks (95% CI = 8.00 – 58.08). Majority of the non-healing wounds were diabetic foot ulcers with age of wound between 4 weeks to 15 years. The median time to complete wound healing was 12.71 (95% CI = 10.00-16.67) weeks. Standard treatment protocol of TIME principle with periwound area assessment based on HPSC 2015 and treatment accordingly with topical application of MCG along with additional measures has shown complete healing of nonhealing wounds. However, further large-scale comparative studies are needed to substantiate these effects on a larger population

Fifty Patient Case Series

Povidone Iodine

Antiseptics, with a broader spectrum of antimicrobial efficacy, lower risk of antibiotic resistance development, and minimal collateral damage to host tissues, are important alternatives to control the bioburden in wounds. Povidone iodine (PVP-I), in use for several decades, has the broadest spectrum of activity, a persistent antimicrobial effect, an ability to penetrate biofilms, and a lack of acquired or crossresistance.

It demonstrates good skin tolerance and low cytotoxicity. However, some reports on PVP-I have raised concerns over allergy, ineffective penetration, and toxic effects on host cells. The majority of these concerns are based on in vitro or rodent wound studies with diverse study designs and outcomes; these results may not be directly applicable.

Identifying and treating foot ulcers in patients with diabetes: saving feet, legs and lives

In developed countries it has been estimated that the incidence of non-healing wounds overall is approximately 1–2% (Gottrup 2004) NEW REF.1 Pressure ulcers (PUs) and diabetic foot ulcers (DFUs) are among the most prevalent chronic wounds in many countries (Phillips and Doverl 2004; Piaggesi 2004).2,3 They are a major global clinical and health economic challenge which is expected to escalate as the population increases, poor lifestyle leads to increased diabetes and obesity, and the population ages (International Diabetes Federation 2017. Diabetes Atlas; Klepstra 2012; Sen et al 2009).