Rossiyskiy nauchnyy centr hirurgii im. akad B. V. Petrovskogo
Oblastnaya detskaya klinicheskaya bol'nica
Purulent pathology accounts for more than 70% of the structure of surgical diseases, while purulent inflammatory processes of soft tissues make up a significant proportion of it, and the most often recommended treatment method is antibacterial therapy. However, currently the primary care physician is faced with the task of f inding ways to treat with minimal use of antibiotics due to the development of antibiotic-resistant strains and a significant number of complications. The article presents the results of treatment of a 15-year-old patient with an extensive bruised ankle and foot wound. Patient was successfully treated with topical application of an alcohol solution of 0.027% chlorhexidine bigluconate without the use of systemic antibacterial drugs. The patient was treated with the removal of old gauze bandages, rinsing with a 3% solution of hydrogen peroxide, then the wound was closed with a gauze cloth moistened with 0.027% alcohol solution of chlorhexidine bigluconate, as well as a f ixing gauze bandage. The procedure was repeated 6-8 times during the day. The percentage of components of the solution used was: chlorhexidine 0.05% – 50%, rectified ethyl alcohol 95% – 21.1%, distilled water – 28.9%. The patient managed to stop the inflammatory process of the soft tissues of the ankle joint and foot with the use of a weakly concentrated alcoholic solution of chlorhexidine bigluconate, as well as to abandon the use of systemic antibacterial drugs. At the same time, there was no chemical burn and tanning of the skin and soft tissues of the wound area, the procedure was easily tolerated by the patient, did not cause painful sensations, and therefore can be recommended for use.
contused wounds, chlorhexidine bigluconate solution, antibacterial therapy, antibiotic resistance, inflammation, Pseudomonas aeruginosa
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