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Gerokomos
versão impressa ISSN 1134-928X
Resumo
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.
Objective:
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.
Methodology:
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.
Results:
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.
Conclusions:
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.