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- Title
Treatment of chronic peristomal moisture associated skin damage with a combination of hyaluronic acid and silver sulfadiazine.
- Authors
Hook, Rebecca; Foster, Kirralee
- Abstract
Moisture associated skin damage is common in patients with a urinary or fecal stoma and can cause significant challenges in patient care and quality of life. Chronic moisture associated skin damage can be difficult to heal and expensive to treat. A patient with a stenosed ileal conduit was diagnosed with chronic moisture associated skin damage (MASD), caused by leaking of urine underneath the base plate. Following multiple stomal therapy reviews and appliance alternatives, the skin damage was not improving, and the patient reported consistent pain and itching. Treatment with a combination cream of 0.2% hyaluronic acid and 1% silver sulfadiazine was initiated and complete healing was observed. Treatment of MASD with dual action cream 0.2% hyaluronic acid and 1% silver sulfadiazine was successful for this patient, with a reduction in wound size, itch, dry skin and serous exudate noted throughout treatment, in addition to a reduced cost of treatment when compared with standard protocols.
- Subjects
THERAPEUTIC use of hyaluronic acid; SKIN inflammation diagnosis; COMBINATION drug therapy; WOUND healing; SKIN inflammation; SKIN care; HYALURONIC acid; OINTMENTS; BANDAGES &; bandaging; URINARY catheters; TREATMENT effectiveness; OSTOMATES; URINARY diversion; SILVER sulfadiazine; OSTOMY; SURGICAL dressings; COMORBIDITY; MEDICAL care costs
- Publication
Journal of Stomal Therapy Australia, 2024, Vol 44, Issue 1, p15
- ISSN
1030-5823
- Publication type
Article
- DOI
10.33235/jsta.44.1.15-19