Chronic venous ulcers, acetic acid treatment
Chronic ulcers require multidisciplinary treatment and one of the most frequent complications is superinfection that slows the healing process. Our service included within the protocol of treatment of chronic ulcers, elastocompression in multilayer and use of 2% acetic acid to prevent super...
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| Autores principales: | , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2023
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/42727 |
| Aporte de: |
| id |
I10-R327-article-42727 |
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| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
venous ulcers plata arginate elastocompresion acetic acid ulceras venosa elastocompresion acido acetico arginato de plata . |
| spellingShingle |
venous ulcers plata arginate elastocompresion acetic acid ulceras venosa elastocompresion acido acetico arginato de plata . Sánchez Carpio , CA Moya Encinas , NE Bolcato, E Chronic venous ulcers, acetic acid treatment |
| topic_facet |
venous ulcers plata arginate elastocompresion acetic acid ulceras venosa elastocompresion acido acetico arginato de plata . |
| author |
Sánchez Carpio , CA Moya Encinas , NE Bolcato, E |
| author_facet |
Sánchez Carpio , CA Moya Encinas , NE Bolcato, E |
| author_sort |
Sánchez Carpio , CA |
| title |
Chronic venous ulcers, acetic acid treatment |
| title_short |
Chronic venous ulcers, acetic acid treatment |
| title_full |
Chronic venous ulcers, acetic acid treatment |
| title_fullStr |
Chronic venous ulcers, acetic acid treatment |
| title_full_unstemmed |
Chronic venous ulcers, acetic acid treatment |
| title_sort |
chronic venous ulcers, acetic acid treatment |
| description |
Chronic ulcers require multidisciplinary treatment and one of the most frequent complications is superinfection that slows the healing process. Our service included within the protocol of treatment of chronic ulcers, elastocompression in multilayer and use of 2% acetic acid to prevent superinfection. The objectives of this study were to describe the results of the use of acetic acid and elastocompression to prevent superinfections and achieve granulation of deep ulcers.
We studied 70 patients of both sexes, ages between 62 and 78 years (2022-2023). With active, chronic venous ulcers (greater than 6 months) of diameters between 5 cm to 10 cm. An observational-prospective study was conducted. The protocol used includes clinical evaluation, physical examination with localization of varicose gulfs, insufficient perforators, measurement of ulcer diameter and CEAP classification. Active infected ulcers at the beginning of the protocol, ulcers of arterial, neuropathic, rheumatoid and/or neoplastic origin are excluded from the present. Two groups were used: Group A: with conventional cure and group B with the addition of 2% acetic acid. The treatment involved in both groups: debridement of ulcer, healing with saline solution, use of collagenase or silver arginate + elastocompression. Only in group B is the use of 2% acetic acid added
In group B, a 90% decrease in ulcer size was observed at 4 months and in 92.5% of cases there was no superinfection in that period. In the case of group A ulcers, a 50% decrease was achieved after 4 months of treatment. In 65% of cases, episodes of reinfection requiring concomitant ATB treatment occurred.
From the present work it is objective that the use of acetic acid together with conventional healing achieves satisfactory results in the times of granulation and healing avoiding the recurrence of local infections in the ulcerous bed. We are currently continuing to extend the protocol to the rest of the ulcers. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/42727 |
| work_keys_str_mv |
AT sanchezcarpioca chronicvenousulcersaceticacidtreatment AT moyaencinasne chronicvenousulcersaceticacidtreatment AT bolcatoe chronicvenousulcersaceticacidtreatment AT sanchezcarpioca ulcerasvenosascronicastratamientoconacidoacetico AT moyaencinasne ulcerasvenosascronicastratamientoconacidoacetico AT bolcatoe ulcerasvenosascronicastratamientoconacidoacetico |
| first_indexed |
2024-09-03T21:04:54Z |
| last_indexed |
2024-09-03T21:04:54Z |
| _version_ |
1809210402727264256 |
| spelling |
I10-R327-article-427272023-10-19T21:19:36Z Chronic venous ulcers, acetic acid treatment Úlceras venosas crónicas, tratamiento con ácido acético . Sánchez Carpio , CA Moya Encinas , NE Bolcato, E venous ulcers plata arginate elastocompresion acetic acid ulceras venosa elastocompresion acido acetico arginato de plata . Chronic ulcers require multidisciplinary treatment and one of the most frequent complications is superinfection that slows the healing process. Our service included within the protocol of treatment of chronic ulcers, elastocompression in multilayer and use of 2% acetic acid to prevent superinfection. The objectives of this study were to describe the results of the use of acetic acid and elastocompression to prevent superinfections and achieve granulation of deep ulcers. We studied 70 patients of both sexes, ages between 62 and 78 years (2022-2023). With active, chronic venous ulcers (greater than 6 months) of diameters between 5 cm to 10 cm. An observational-prospective study was conducted. The protocol used includes clinical evaluation, physical examination with localization of varicose gulfs, insufficient perforators, measurement of ulcer diameter and CEAP classification. Active infected ulcers at the beginning of the protocol, ulcers of arterial, neuropathic, rheumatoid and/or neoplastic origin are excluded from the present. Two groups were used: Group A: with conventional cure and group B with the addition of 2% acetic acid. The treatment involved in both groups: debridement of ulcer, healing with saline solution, use of collagenase or silver arginate + elastocompression. Only in group B is the use of 2% acetic acid added In group B, a 90% decrease in ulcer size was observed at 4 months and in 92.5% of cases there was no superinfection in that period. In the case of group A ulcers, a 50% decrease was achieved after 4 months of treatment. In 65% of cases, episodes of reinfection requiring concomitant ATB treatment occurred. From the present work it is objective that the use of acetic acid together with conventional healing achieves satisfactory results in the times of granulation and healing avoiding the recurrence of local infections in the ulcerous bed. We are currently continuing to extend the protocol to the rest of the ulcers. Las ulceras crónicas requieren tratamiento multidisciplinario y una de las complicaciones mas frecuentes es la sobreinfección que retarda el proceso de cicatrización. Nuestro servicio incluyo dentro del protocolo de tratamiento de ulceras crónicas, la elastocompresion en multicapa y el uso de ácido acético al 2 % buscando prevenir la sobreinfección. Los objetivos de este estudio fueron describir los resultados de la utilización de ácido acético y elastocompresion para prevenir sobreinfecciones y lograr la granulación de úlceras profundas. Se estudiaron 70 pacientes de ambos sexos, edades entre 62 a 78 años (2022-2023). Con úlceras venosas activas, crónicas (mayor a 6 meses) de diámetros entre 5 cm a 10 cm. Se realizo un estudio observacional - prospectivo. El protocolo utilizado, incluye evaluación clínica, examen físico con localización de golfos varicosos, perforantes insuficientes, medición de diámetro de ulcera y clasificación CEAP. Se excluyen del presente, las ulceras infectadas activas al inicio del protocolo, ulceras de origen arterial, neuropático, reumatoideo y/o neoplásico. Se utilizaron dos grupos: Grupo A: con curación convencional y el grupo B con el agregado diario de acido acetico al 2 %. El tratamiento implicó en ambos grupos: desbridamiento de ulcera, curación diaria con solución fisiológica, utilización de colagenasa o arginato de plata + elastocompresión. Solo en el grupo B se agrega el uso de acido acetico al 2 % En el grupo B se observó a los 4 meses una disminución del 90 % del tamaño de la ulcera y en el 92.5% de los casos no presentaron sobreinfección en dicho periodo. En el caso de las ulceras grupo A se logró la disminución del 50 % a los 4 meses de tratamiento. En el 65 % de los casos se presentaron episodios de reinfección que requirió tratamiento ATB concomitante. Del presente trabajo se objetiva que la utilización del ácido acético junto a la curación convencional logra resultados satisfactorios en los tiempos de granulación y cicatrización evitando la recidiva de infecciones locales en el lecho ulceroso. Actualmente continuamos ampliando el protocolo al resto de las ulceras. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-10-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42727 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 (2023): Suplemento JIC XXIV Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 (2023): Suplemento JIC XXIV Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 (2023): Suplemento JIC XXIV 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/42727/42786 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |