Dra. Nora Lecuona Dr. Neftalí Rodríguez

Hospital Ángeles México México

Introductinfected diabetic foot, ion: We are presenting the cases of two patients with controlling the infectious process first with surgical procedure and after it controlling bacterial growth and level of exudate by using antimicrobial and specific high absorption dressings

Cases presentation: patients of 29 and 52 years old, with long-term and no controlled Diabetes Mellitus, with foot wounds of 1 month and 2 weeks of evolution. Initially assessing vascular status, finding it intact. To the first patient, the plantar wound was resected, along with the bone underneath it, the rest of the wound is surgically cleansed and debrided prior to the amputation of the 2nd and 5th toes of the left foot. To the other patient all toes exept of the first one were amputated, the wound cleansed and debrided. The infectious process and the level of exudate were difficult to control, therefore requiring the use of a calcium alginate, carboxymethylcellulose, ionic silver dressing, conventional nanocrystalline silver dressing and the one of knitted polyester; performing dressing changes at 5-day intervals over a 4-month period.

Result: We achieved an adequate control of the infectious process and exudate levels by using a combination of different dressings and by properly preparing the wound bed, obtaining adequate wound healing. Conclusion: The use of specialized dressings to control infection and exudate levels is useful when preparing the wound bed to be able to perform secondary procedures with the aim of achieving total wound healing