A COMPARATIVE STUDY BETWEEN HYDROFIBER DRESSING & POVIDONE DRESSING IN DIABETIC FOOT ULCERS

Abstract

Rithin Suvarna1, Komaragiri Viswanadh2, Hanumanthappa M. B3, N. Devidas Shetty4

BACKGROUND
Diabetic Foot Ulcer (DFU) is the most common complication of Diabetes Mellitus (DM). It occurs in 15% of all patients with DM. Major increase in mortality among diabetic patients, observed over the past 20 years is considered to be due to the development of macro and micro vascular complications, including failure of the wound healing process. Non-healing chronic diabetic ulcers are often treated with extracellular matrix replacement therapy.so far, it is a common trend in diabetic foot care domain to use advanced moist wound therapy. At present, there are various categories of moist dressings available such as povidone dressings, adhesive backing film, silicone coated foam, hydrogels, hydrocolloids etc.
AIMS & OBJECTIVES
1) To study efficacy of hydrofiber dressings and wound healing in diabetic foot ulcers.
2) To compare the safety, final outcome and patient compliance in hydrofiber and povidone dressing.
MATERIALS & METHODS
This prospective, observational study is carried in our department from September 2014 to September 2015. All the patients with age of 30 years and above were admitted in AJIMS satisfying the inclusion and exclusion criteria were taken into the study. The patients were followed until the ulcer is treated.
STATISTICAL ANALYSIS
Data are presented as Mean and Standard Deviation (SD). Fischer’s exact test and Chi-Square Test were used as appropriate. GraphPad Prism Version 6.0h was used to analyze data and to prepare graphs. A ‘P’ value below the level of 0.05 was taken as statistically significant.
RESULTS
Among the patients who were studied, hydrofiber dressings helped in the better & faster healing of DFU.
CONCLUSION
In comparison with povidone gauze dressings to hydrofiber dressings in diabetic foot ulcers, the latter is more efficacious in controlling the infection, minimal usage of antibiotics, faster healing rate and patient compliance during dressings.

image