Pugh, M., Woodfine, D. (2015) Management of Groin Abcess with Flaminal Forte and KerraMax Care, Journal of Aging & Innovation, 5 (1): 42 - 45
ESTUDO DE CASO/ CASE STUDY
ABRIL 2016
Management of Groin Abcess with Flaminal Forte and KerraMax Care Gestão de Abcesso da virilha com Flaminal Forte e KerraMax Care
Gestión de Absceso de la ingle con Flaminal Forte y KerraMax Care
Autores MAGGIE PUGH1, DEBBIE WOODFINE2 1,2
Primary Case Nurses, Gloucester, Reino Unido Corresponding Author: maggie.pugh@glos-care.nhs.uk
Introduction There were an estimated 87,302 people who injected drugs in the United Kingdom in 2012.
for the study which was conducted in line with the Trust’s ‘Working with Industry’’ Policy. Method On discharge from hospital, the groin area had
Around one-third of these reported an injection-
been extensively debrided and was red and
related abscess, sore or open wound within a
sloughy with high levels of exudate, but no
one-year period,2 which were associated with
infection. The size of the wound was not
increased health implications such as
measured, however a sinus by the scrotal area
bacteraemia, septicaemia, amputation and skin
was approximately 2cm deep. The treatment
breakdown. Abscesses and chronic wounds, as
plan was to promote healing of the abscess
well as prolonged leg ulceration, are common.
(secondary intention), wound and skin graft,
People who inject drugs may demonstrate
whilst preventing infection. Initially, the wound
chaotic lifestyles, which can inhibit access to
was treated daily with paraf n gauze and
mainstream healthcare provision.
absorbent cellulose dressing to absorb signi cant
This case study describes post-operative management of a 35-year-old male who presented to the emergency department with a deep vein thrombosis (DVT) and right groin
amounts of exudate. The sinus near the scrotal area was carefully packed with paraf n gauze. The surrounding skin was red and painful and so 50:50 ointment was applied.
abscess. This developed into necrotising
On day 12 following discharge Flaminal Forte
fasciitis, requiring surgery and extensive wound
(Crawford Healthcare), an enzyme alginogel,
debridement followed by skin graft surgery. He
was introduced into the sinus under a non-
had a 14-year history of intravenous drug use
adherent silicone dressing (Figure 1) and also to
and had been injecting into his groin. The man
a further crevice in the posterior of the wound.
had been homeless until recently, was
Using Flaminal Forte reduced the dressing time.
unemployed with a history of depression, DVTs
Application using syringes was swift and virtually
and abscesses. Patient consent was obtained
pain-free for the patient.
JOURNAL OF AGING AND INOVATION (EM LINHA) ISSN: 2182-696X / (IMPRESSO) ISSN: 2182-6951
Volume 5. Edição 1