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vol.29 número2La importancia del tratamiento inicial adecuado en una quemadura subdérmica en miembro inferior. Caso clínico índice de autoresíndice de assuntospesquisa de artigos
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versão impressa ISSN 1134-928X


HERNANDEZ ORTIZ, Juan Ángel et al. Approach of a category III rub injury, with the presence of biofilm, after mechanical containment. Gerokomos [online]. 2018, vol.29, n.2, pp.105-107. ISSN 1134-928X.


Reinforce and demonstrate the importance of identifying, knowing and attending to all the factors related to biofilms, which we find in practically all chronic wounds.


It is a case of a Intensive Care Unit patient with invasive mechanical ventilation. During weaning, he presents exacerbated delirium that requires mechanical restraint, which produced a category III friction lesion, evolving in a very aggressive way towards the repeated presentation of biofilm.


After an ineffective first approach, we established a cure in a humid environment and proceeded to apply all the most current care indicated in the management of wounds with the presence of biofilm. We got complete closure in four weeks.


It is necessary to understand what a biofilm means for a wound and for a patient. If this is not achieved, we can never address it categorically and effectively.

Palavras-chave : Biofilm; bacterial load; sharp debridement; wound healing; treatment in a humid environment; management of wound exudate.

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