A comparative study of topical sucralfate Versus normal saline for dressing of diabetic ulcer
Keywords:
Culture and sensitivity, Diabetic ulcer, Sucralfate dressingAbstract
Introduction: In this millennium where man has succeeded in deciphering human genetic code, the issue of management chronic wound continues an enigmatic challenge. Diabetic ulcers, particularly non-healing types, are one of the most common surgical issues. From time, immemorial doctors are trying different methods to treat this kind of ulcers. The difficulty in a chronic ulcer is its refusal to heal, whatever management given, especially diabetic ulcers. Aim: To compare the efficacy of topical sucralfate with that of a control group using conventional dressings, in the healing of diabetic ulcers. Materials and Methods: A total of 100 patients with diabetic foot ulcer participated in the present study. After undergoing a detailed clinical examination, and relevant investigations, the initial wound area was recorded after sharp debridement by measuring length x width (ulcer should be <15 cm × 15 cm). Both groups were subjected to once daily dressings. The patients were followed up on a daily basis for 3 weeks in both groups. Results: In our study, it was observed that participants receiving sucralfate dressing had a better area of reduction of 41.97% (standard deviation [SD]: 7.41) as compared to the control group receiving only conventional dressing (normal saline dressing) in whom the mean area of reduction was 18.37 (SD: 13.43). Conclusion: Sucralfate dressing is an effective modality to facilitate area of reduction of wound in patients suffering from diabetic foot ulcers and can be used as an adjunct to conventional mode of treatment (conventional dressings and debridement) for faster and better healing of diabetic ulcers.
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Copyright (c) 2021 Arvind Kumar, Ashok Kumar Sharma, Abhishek Kumar Singh
This work is licensed under a Creative Commons Attribution 4.0 International License.