17 doctors weighed in:

I had multiple infections of pseudomonas and staph on my leg ulcer. How do I keep the wound clean?

17 doctors weighed in
Dr. Scott Bolhack
Wound care
6 doctors agree

In brief: Wound Clean

Your wound should be followed by a wound specialist.
The surface of wounds have bacteria in them. What needs to be differentiated is colonization (which does not require antibiotics) from infection (which does). Slough and fibrin, the material that collects on the surface of the wound can be removed to lower the bacteria (bioburden). Then advanced wound care products can be used on the wound.

In brief: Wound Clean

Your wound should be followed by a wound specialist.
The surface of wounds have bacteria in them. What needs to be differentiated is colonization (which does not require antibiotics) from infection (which does). Slough and fibrin, the material that collects on the surface of the wound can be removed to lower the bacteria (bioburden). Then advanced wound care products can be used on the wound.
Dr. Scott Bolhack
Dr. Scott Bolhack
Thank
Dr. Christopher Bulger
Surgery - Vascular
5 doctors agree

In brief: Daily dressings

Daily dressing changes at a minimum are essential for infected wounds even in the era modern dressing supplies.
Debridements performed when necessary to remove devitalized tissue will decrease the environement in which bacteria can proliferate. Treatment with certain antibiotics make reduce recurrent staph infection in patients who are colonized.

In brief: Daily dressings

Daily dressing changes at a minimum are essential for infected wounds even in the era modern dressing supplies.
Debridements performed when necessary to remove devitalized tissue will decrease the environement in which bacteria can proliferate. Treatment with certain antibiotics make reduce recurrent staph infection in patients who are colonized.
Dr. Christopher Bulger
Dr. Christopher Bulger
Thank
3 doctors agree

In brief: Wound care center

Are you being treated at a wound care center? At a minimum make sure that you are having your wound being closely monitored by a home health nurse, a physician or even weekly visits to the wound care center.

In brief: Wound care center

Are you being treated at a wound care center? At a minimum make sure that you are having your wound being closely monitored by a home health nurse, a physician or even weekly visits to the wound care center.
Dr. Tharesh Udupa
Dr. Tharesh Udupa
Thank
Dr. Ally-Khan Somani
Dermatology
1 doctor agrees

In brief: A gentle cleanser

2 cups clean water + 1 teaspoon white cooking vinegar. Can be kept in the fridge great for minor scrapes, cuts, even open wounds.
Use a clean gauze or cloth soaked in solution and gently clean the wound, continue to soak area with gauze/cloth for 5-10 min. Pat dry & then apply thin layer of vaseline. Do it as often as needed (especially the vaseline). This is also great care for sutured wounds.

In brief: A gentle cleanser

2 cups clean water + 1 teaspoon white cooking vinegar. Can be kept in the fridge great for minor scrapes, cuts, even open wounds.
Use a clean gauze or cloth soaked in solution and gently clean the wound, continue to soak area with gauze/cloth for 5-10 min. Pat dry & then apply thin layer of vaseline. Do it as often as needed (especially the vaseline). This is also great care for sutured wounds.
Dr. Ally-Khan Somani
Dr. Ally-Khan Somani
Thank
Dr. Jeffrey DeCaprio
Surgery - Vascular

In brief: Diagnosis

If your ulcer is not healing it may be because the cause of the ulcer is not being addressed.
Leg ulcers may be secondary to venous disease, arterial insufficiency, neurotrophic, vasculitis, or infections. The diagnose is often made by history , examination and simple tests. Until the cause is addressed the ulcer often persist. It is not unusual to have chronic bacterial colonization of the wound.

In brief: Diagnosis

If your ulcer is not healing it may be because the cause of the ulcer is not being addressed.
Leg ulcers may be secondary to venous disease, arterial insufficiency, neurotrophic, vasculitis, or infections. The diagnose is often made by history , examination and simple tests. Until the cause is addressed the ulcer often persist. It is not unusual to have chronic bacterial colonization of the wound.
Dr. Jeffrey DeCaprio
Dr. Jeffrey DeCaprio
Thank
Dr. Andrew Doe
Radiology - Interventional

In brief: Healing

If you are having difficulty healing even with the suggestions already given, you should get an ultrasound looking for some circulation problems.

In brief: Healing

If you are having difficulty healing even with the suggestions already given, you should get an ultrasound looking for some circulation problems.
Dr. Andrew Doe
Dr. Andrew Doe
Thank
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