(CS-010) Enhanced Infection Control and Accelerated Healing of Diabetic Foot Wounds with Silver Alginate Dressing and Silicone Adhesive Border Foam Dressing
Introduction: The prevalence of diabetes mellitus in Indonesia ranks as the fifth highest in the world (IDF 2021). Diabetic foot (DF) is one of the most common and serious chronic complications of diabetes. Currently, various dressings are used in diabetic foot care, including Silver Alginate Dressing and Foam Dressing Silicone Adhesive Border. Three casesof diabetic foot wounds have been successfully treated to full recovery using Silver Alginate Dressing and Foam Dressing Silicone Adhesive Border, based on evidence-based medicine to draw conclusions with higher levels of evidence, providing a foundation for clinical DF care.
Methods: Wound care was performed using the Moisture Balance concept with the TIME Management principle, conducted twice a week. The first step involved cleansing the wound with normal saline, followed by evaluating the wound using the Diabetic Foot Ulcer Assessment Scale (DFUAS). Mechanical debridement was performed on necrotic tissue, and wound dressings were selected according to wound condition, using Silver Alginate Dressing as the primary dressing and Foam Dressing Silicone Adhesive Border as the secondary dressing. The implementation method included: (1) Cleansing wounds with 0.9% NaCl and Polyhexamethylene Biguanide (PHMB), (2) Preparing the wound base by removing biofilm and necrotic tissue, (3) Using Silver Alginate Dressing and Foam Dressing Silicone Adhesive Border as the primary care.
Results: After four treatment sessions using Silver Alginate Dressing and Foam Dressing Silicone Adhesive Border, wound care results were significantly improved: Case 1 reduced the DFUAS score from 44 at the first visit to 32 at the fourth; Case 2 improved from 41 to 30, and Case 3 from 38 to 26.
Discussion: The application of Silver Alginate Dressing and Foam Dressing Silicone Adhesive Border for diabetic foot wounds proved highly effective and accelerated wound healing. Silver Alginate Dressing offers greater contact surface and stronger bactericidal effects compared to regular dressings. Moreover, this dressing can be repeatedly disinfected to better control wound infections and promote faster healing.