1 / 33

BURULI ULCER - A devastating skin disease

BURULI ULCER - A devastating skin disease . Enhancing early wound healing- Use of HYDROGEL Edwin Ampadu; MD, MPH, FAPWCA. Introduction . BU treatment developmental trend Why the further topical application – Hence the topic of my presentation enhancing wound healing

zaide
Download Presentation

BURULI ULCER - A devastating skin disease

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. BURULI ULCER-A devastating skin disease Enhancing early wound healing- Use of HYDROGEL Edwin Ampadu; MD, MPH, FAPWCA

  2. Introduction • BU treatment developmental trend • Why the further topical application – • Hence the topic of my presentation enhancing wound healing • Preliminary observations made on the field • Challenges to implementations • Possible way forward

  3. BU treatment development trend • Treatment –surgery with wide and extensive excision, wound dressing and Split Skin Graft

  4. Challenges • Program continues to record massive lesions Cat lll

  5. Antibiotics treatment • Recommendation – WHO • Results very encouraging • However; operational challenges • geographically difficult to offer community treatment, • cost implications, • Battling with superstitions in the communities about the disease

  6. After treatment Before treatment After 12 month follow-up

  7. lesions with antibiotics only

  8. Further improving case management Indication to use hydrogel • Further reduce the wound healing time whiles continue treatment with antibiotics for 8 weeks • Early healing than before

  9. Why the further topical application Make treatment more acceptable/ friendly to client and communities -[ wound heal duration<; can be administered by patients, cost effective

  10. Preliminary observations made on the field

  11. Hydro gel application Trial parameters • 2 endemic sites were selected • Total patients affected- 15 • Male 3 • Female 12 • Children 7 • Adults 9 • Period of application – 6 weeks • Average days of change of dressing – 3-5days

  12. Wound Healing catches on well with a whole community Observations

  13. Week 2 Initial Week 4

  14. Week 2 Initial Week 4

  15. Week 2 Initial Week 6 Week 4

  16. Initial Week 2 Week4 Week 6

  17. Week 2 Initial Week 6 Week 4

  18. Week 2 Initial Week 4

  19. Week 1 Initial Week 3

  20. Week 2 Initial Week 4

  21. Week 2 Initial Week 4

  22. Implementation challenges • Access to patients in communities • Improve health education on the disease • Picture of vehicle • Late attending to patients • night

  23. Reaching patients in difficult areas

  24. Ministry of health – Dressings, transport, personnel WHO- educational materials, audio-visual tools for community education, transport Support with the Gel from McCard foundation Other supports

  25. Way forward • Strengthen support to reach patients in rural communities • Gradual scale up of the application • Improving knowledge to enhance wound healing in our challenging world

  26. Thank you

  27. Other challenging lesions

  28. Week 2 Initial Week 4

  29. Week 1 Initial Week 3

  30. Week 1 Initial Week 3

  31. Week 2 Initial Week 4

  32. Week 2 Initial Week 4

More Related