Cargando…

The Use of Hypochlorous Acid Lavage to Treat Infected Cavity Wounds

Managing cavity wounds that cannot be cleaned using standard irrigating solution is challenging. An immunocompromised patient with a horseshoe perianal abscess was selected to represent a heavy infection in cavity wounds. Diluted povidone-iodine was initially used to lavage the wounds, but the fever...

Descripción completa

Detalles Bibliográficos
Autores principales: Wongkietkachorn, Apinut, Surakunprapha, Palakorn, Wittayapairoch, Jakrapan, Wongkietkachorn, Nuttapone, Wongkietkachorn, Supawich
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015588/
https://www.ncbi.nlm.nih.gov/pubmed/32095408
http://dx.doi.org/10.1097/GOX.0000000000002604
_version_ 1783496826257670144
author Wongkietkachorn, Apinut
Surakunprapha, Palakorn
Wittayapairoch, Jakrapan
Wongkietkachorn, Nuttapone
Wongkietkachorn, Supawich
author_facet Wongkietkachorn, Apinut
Surakunprapha, Palakorn
Wittayapairoch, Jakrapan
Wongkietkachorn, Nuttapone
Wongkietkachorn, Supawich
author_sort Wongkietkachorn, Apinut
collection PubMed
description Managing cavity wounds that cannot be cleaned using standard irrigating solution is challenging. An immunocompromised patient with a horseshoe perianal abscess was selected to represent a heavy infection in cavity wounds. Diluted povidone-iodine was initially used to lavage the wounds, but the fever persisted and the irrigation was painful. Hypochlorous acid was then used to irrigate the wound. One day after administration of the hypochlorous acid, the fever began to subside, suggesting that this solution was able to adequately destroy the infecting microorganisms. The patient rated his pain during this procedure as 2/10. The infection had cleared within 2 weeks, and a swab culture found no microbial growth. The wound volume was reduced by more than 90% after 5 weeks, and final wound closure was achieved after 6 weeks. By comparison, another patient with a horseshoe perianal abscess who underwent traditional irrigation with diluted povidone-iodine and wet-to-dry dressing faced similar problems, but the fever in this case did not subside, and the wound became more complicated. He complained of pain during the irrigation with diluted povidone-iodine, giving the procedure a pain score of 10/10. Wound care was also difficult due to fecal contamination. As a result, the patient had to undergo colostomy to divert feces to the abdomen, thus preventing it from contaminating the wound. Time to final wound closure was 10 weeks. These cases illustrate the effectiveness of hypochlorous acid in dealing with infection in wound cavities.
format Online
Article
Text
id pubmed-7015588
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Wolters Kluwer Health
record_format MEDLINE/PubMed
spelling pubmed-70155882020-02-24 The Use of Hypochlorous Acid Lavage to Treat Infected Cavity Wounds Wongkietkachorn, Apinut Surakunprapha, Palakorn Wittayapairoch, Jakrapan Wongkietkachorn, Nuttapone Wongkietkachorn, Supawich Plast Reconstr Surg Glob Open Case Report Managing cavity wounds that cannot be cleaned using standard irrigating solution is challenging. An immunocompromised patient with a horseshoe perianal abscess was selected to represent a heavy infection in cavity wounds. Diluted povidone-iodine was initially used to lavage the wounds, but the fever persisted and the irrigation was painful. Hypochlorous acid was then used to irrigate the wound. One day after administration of the hypochlorous acid, the fever began to subside, suggesting that this solution was able to adequately destroy the infecting microorganisms. The patient rated his pain during this procedure as 2/10. The infection had cleared within 2 weeks, and a swab culture found no microbial growth. The wound volume was reduced by more than 90% after 5 weeks, and final wound closure was achieved after 6 weeks. By comparison, another patient with a horseshoe perianal abscess who underwent traditional irrigation with diluted povidone-iodine and wet-to-dry dressing faced similar problems, but the fever in this case did not subside, and the wound became more complicated. He complained of pain during the irrigation with diluted povidone-iodine, giving the procedure a pain score of 10/10. Wound care was also difficult due to fecal contamination. As a result, the patient had to undergo colostomy to divert feces to the abdomen, thus preventing it from contaminating the wound. Time to final wound closure was 10 weeks. These cases illustrate the effectiveness of hypochlorous acid in dealing with infection in wound cavities. Wolters Kluwer Health 2020-01-24 /pmc/articles/PMC7015588/ /pubmed/32095408 http://dx.doi.org/10.1097/GOX.0000000000002604 Text en Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Wongkietkachorn, Apinut
Surakunprapha, Palakorn
Wittayapairoch, Jakrapan
Wongkietkachorn, Nuttapone
Wongkietkachorn, Supawich
The Use of Hypochlorous Acid Lavage to Treat Infected Cavity Wounds
title The Use of Hypochlorous Acid Lavage to Treat Infected Cavity Wounds
title_full The Use of Hypochlorous Acid Lavage to Treat Infected Cavity Wounds
title_fullStr The Use of Hypochlorous Acid Lavage to Treat Infected Cavity Wounds
title_full_unstemmed The Use of Hypochlorous Acid Lavage to Treat Infected Cavity Wounds
title_short The Use of Hypochlorous Acid Lavage to Treat Infected Cavity Wounds
title_sort use of hypochlorous acid lavage to treat infected cavity wounds
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015588/
https://www.ncbi.nlm.nih.gov/pubmed/32095408
http://dx.doi.org/10.1097/GOX.0000000000002604
work_keys_str_mv AT wongkietkachornapinut theuseofhypochlorousacidlavagetotreatinfectedcavitywounds
AT surakunpraphapalakorn theuseofhypochlorousacidlavagetotreatinfectedcavitywounds
AT wittayapairochjakrapan theuseofhypochlorousacidlavagetotreatinfectedcavitywounds
AT wongkietkachornnuttapone theuseofhypochlorousacidlavagetotreatinfectedcavitywounds
AT wongkietkachornsupawich theuseofhypochlorousacidlavagetotreatinfectedcavitywounds
AT wongkietkachornapinut useofhypochlorousacidlavagetotreatinfectedcavitywounds
AT surakunpraphapalakorn useofhypochlorousacidlavagetotreatinfectedcavitywounds
AT wittayapairochjakrapan useofhypochlorousacidlavagetotreatinfectedcavitywounds
AT wongkietkachornnuttapone useofhypochlorousacidlavagetotreatinfectedcavitywounds
AT wongkietkachornsupawich useofhypochlorousacidlavagetotreatinfectedcavitywounds