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Effects of Hydrogel With Enriched Sodium Alginate in Wounds of Diabetic Patients

Gustinelli Barbosa, Murilo Antonio, MN; Paggiaro, André Oliveira, PhD; Carvalho, Viviane Fernandes de, PhD; Isaac, César, PhD; Gemperli, Rolf, PhD

doi: 10.1097/PSN.0000000000000228
Departments: Wound Care Department

Objective of this study was to evaluate the efficacy of the autolytic debridement promoted by hydrogel with sodium alginate enriched with fatty acids and vitamins A and E in the healing of foot wounds in diabetic patients. A clinical study was conducted at an outpatient clinic of medical specialties. The sample comprised 8 patients supervised for a 3-month period, from April to July 2017, by means of a clinical history, photographic record, planimetry, and classification of the wound severity by the Pressure Ulcer Scale for Healing (PUSH) system. Of the 8 patients supervised, 1 dropped out and 7 were followed up for 12 weeks. Only 2 had complete wound healing, but all presented a reduction of the lesion area of approximately 22.2% and PUSH score of 9.8 to 6.6. This study found that hydrogel showed good results for the treatment of diabetic feet, reducing the area and overall PUSH score of the wounds.

Murilo Antonio Gustinelli Barbosa, MN, is Nurse, Guarulhos University, São Paulo, Brazil.

André Oliveira Paggiaro, PhD, is Plastic Surgeon, Guarulhos University, São Paulo, Brazil.

Viviane Fernandes de Carvalho, PhD, is Nurse, Guarulhos University, São Paulo, Brazil.

César Isaac, PhD, is Plastic Surgeon, São Paulo University, São Paulo, Brazil.

Rolf Gemperli, PhD, is Plastic Surgeon, São Paulo University, São Paulo, Brazil.

Address correspondence to Murilo Antonio Gustinelli Barbosa, MN, Guarulhos University, Programa de Pós-Graduação em Enfermagem, Praça Tereza Cristina, 229, Centro – Guarulhos/SP (e-mail: muriloagb@hotmail.com).

The authors report no conflicts of interest.

Copyright © 2018 by American Society of Plastic Surgical Nurses