BURULI ULCER- A devastating skin disease Enhancing early wound healing- Use of HYDROGEL Edwin...
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Transcript of BURULI ULCER- A devastating skin disease Enhancing early wound healing- Use of HYDROGEL Edwin...
BURULI ULCER-A devastating skin disease
Enhancing early wound healing- Use of
HYDROGEL
Edwin Ampadu; MD, MPH, FAPWCA
Introduction
• BU treatment developmental trend
• Why the further topical application –
• Hence the topic of my presentation enhancing wound healing
• Preliminary observations made on the field
• Challenges to implementations
• Possible way forward
BU treatment development trend
• Treatment –surgery with wide and extensive excision, wound dressing and Split Skin Graft
Challenges
• Program continues to record massive lesions Cat lll
Antibiotics treatment • Recommendation – WHO
• Results very encouraging
• However; operational challenges– geographically difficult to offer community
treatment, – cost implications, – Battling with superstitions in the communities
about the disease
Before treatment After treatment
After 12 month follow-up
lesions with antibiotics only
Further improving case management
Indication to use hydrogel – Further reduce the wound healing time whiles
continue treatment with antibiotics for 8 weeks– Early healing than before
Why the further topical application
Make treatment more acceptable/ friendly to client and communities -[ wound heal
duration<; can be administered by patients, cost effective
Preliminary observations made on the field
Hydro gel application
Trial parameters • 2 endemic sites were
selected• Total patients
affected- 15 • Male 3• Female 12 • Children 7• Adults 9
• Period of application – 6 weeks
• Average days of change of dressing – 3-5days
• Wound Healing catches on well with a whole communityWound Healing catches on well with a whole communityObservations
Initial
Week 2
Week 4
Initial
Week 2
Week 4
InitialWeek 2
Week 4Week 6
Week 4
Initial
Week 6
Week 2
Initial Week 2
Week 4 Week 6
Initial
Week 2
Week 4
Initial
Week 1
Week 3
Initial
Week 2
Week 4
Initial
Week 2
Week 4
Implementation challenges
• Access to patients in communities
• Improve health education on the disease
• Picture of vehicle
• Late attending to patients• night
Reaching patients in difficult areas Reaching patients in difficult areas
Other supports
• Ministry of health – Dressings, transport, personnel
• WHO- educational materials, audio-visual tools for community education, transport
• Support with the Gel from McCard foundation
Way forward
• Strengthen support to reach patients in rural communities
• Gradual scale up of the application
• Improving knowledge to enhance wound healing in our challenging world
Thank you Thank you
Other challenging lesions
Initial
Week 2
Week 4
Initial
Week 1
Week 3
Initial
Week 1
Week 3
Initial
Week 2
Week 4
Initial
Week 2
Week 4