Wednesday, 31 May 2023

Role of Silver Stream in Healing Diabetic Ulcers | Chapter 10 | New Advances in Medicine and Medical Science Vol. 4

 This affiliate aims to compare influence of dressing with bright stream solution against povidone iodine in healing of diabetic ulcers. Diabetic ulcers affect melancholy, mortality & character of life (QOL) of diabetic subjects. Contamination of ulcers with pathogenic organisms upsets healing process . Thus wound debridement and fertilizer using antiseptics, authorizes an important aspect of situation. Povidone iodine is a widely used antiseptic for wound dressings. Silver stream, answer containing ‘silver ions, menthol, glycerol & surfactant’ has proved promising results in incessant DFU. In this study, 100 patients accompanying diabetic ulcers were randomly divided into 2 groups of 50 each. Group A taken, ulcer fertilizer with silver stream answer & group B with povidone iodine, all 48 hours. Effect of drugs on ulcer diameter & healing was evaluated at 2 weeks pauses for 8 weeks or till ulcer cured . Patients of Group A & B were comparable in conditions of their age , sex distribution, event of diabetes and pretreatment mean ulcer sizes. Maximum inmates were in age group of 51-60 years. About 3/4th of subjects had spontaneous attack of ulcer in two together the groups. A progressive significant decline in mean ulcer content occured in both the groups but % age reduction was much more gang A (89.51%) than in group B (33%) at 8 weeks (P<0.05). There was meaningful difference in curative rates in group A & B. All patients camp A responded to bright stream treatment, though answer was partial in 10%. Patients having weak glycemic control. In contrast, in povidone iodine group, 12% did not returned, 42% had partial response & only 46% presented complete response.Response rate accompanying silver stream is considerably higher than povidone iodine. Silver stream dressing causes considerably more reduction in mean lesion size at end of 8 weeks situation than povidone iodine.

Author(s) Details:

Ashwani Kumar,
Department of DNB Surgery, SBLS Civil Hospital, Jalandhar, Punjab, India.

Satinderjit Singh Bajaj,
Department of Surgery, SBLS Civil Hospital, Jalandhar, Punjab, India.

Jagminder Kaur Bajaj,
Department of Pharmacology, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India.

Please see the link here: https://stm.bookpi.org/NAMMS-V4/article/view/10713


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