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Biomedical subjects

C E Dunford

Publications and source records attributed to C E Dunford.

4 recordsLinked to original sources

Acceptability to patients of a honey dressing for non-healing venous leg ulcers.

OBJECTIVES: This four-centre feasibility study was undertaken to determine whether Medihoney, a proprietary blend of honeys, is an acceptable treatment for patients with leg ulcers in terms of pain relief, odour control and overall patient satisfaction. METHOD: Forty patients whose leg ulcers had not responded to 12 weeks of compression therapy were recruited. Medihoney dressings were applied on their ulcers for the 12-week study period. All other aspects of their care, including the use of compression bandaging, remained unchanged. Their leg ulcers were assessed every two weeks. This included the use of a patient questionnaire. RESULTS: Overall, ulcer pain and size decreased significantly and odorous wounds were deodorised promptly. This had a positive impact on patient satisfaction with the Medihoney treatment. CONCLUSION: The results support the previously reported positive effects of honey and revealed a high patient acceptance for this treatment. Following these results, comparative clinical trials, which should also consider pain, are now recommended.

Aged↗

Methicillin resistant Staphylococcus aureus.

Methicillin-resistant Staphylococcus aureus (MRSA) has had a major impact on health care causing much anxiety and distress to patients and staff, and resulting in huge financial costs. It has been widely publicised by the media which in some cases has added to people's alarm. The screening, treatment and resultant isolation affects all aspects of the patient's care and will also influence the management of any wounds. MRSA has been isolated in both acute and chronic wounds and so the management of these must be included in any infection control policy.

Acute Disease↗

Treatment of a wound infection in a patient with mantle cell lymphoma.

This case study examines the impact of a severe wound infection on a patient undergoing chemotherapy for the treatment of mantle cell lymphoma. The study illustrates how life threatening an infection can become in a patient whose body is compromised as a consequence of both disease and chemotherapy treatment. A number of specialist products were required in order to overcome the infection, debride and heal the wound. These included larval therapy, vacuum-assisted closure and Leptospermum honey. While this case study focuses on the successful outcome of one particular patient it aims to raise awareness of the role of specialist products, both old and new, in improving healing rates of complex wounds.

Cellulitis↗