Nadia BOUDJENAH
Diabetic Foot center, Algeria
Title: DIABETIC FOOT IN ALGERIA – ILLUSTRATION No II
Biography
Biography: Nadia BOUDJENAH
Abstract
Our therapeutic:
- local treatments consist of a water bath and H2O2 at 10 volumes, followed by the application of LEADERMAX* (local ointment) and MAGGOT THERAPY daily until detachment or debridement.
- CARBON DIOXIDE THERAPY SESSIONS (CDT)
- Broad spectrum antibiotic therapy at first and then, targeted antibiotic therapy.
- Anticoagulants: Aspegic / Plavix, after opinions of the cardiologist and the nephrologist
- Once the maggots will have split the lesions into the area to be removed and the underlying budding due to the improved vascularity of the floor, surgical debridement was performed.
- The relay is then taken by dressings with ALTRAZEAL* and BELCIC* cream.
- Physical activity, walking with complete discharge, and anti-oedema posture.
In conclusion:
This patient, blind and victim of COVID 19, had a complication of decubitus: double pressure ulcer of the heels.
His treatment did not require hospitalization and complete healing was achieved within 7 months.
We stress the importance of the timing of the debridement, performed at 5 and 7 weeks after the first visit, to avoid worsening the lesions.
Vascularization was improved by CARBOMEDTHERAPY (CDT) weekly sessions at first for 2 months, and bi-monthly thereafter until healing, as evidenced by the comparative trace obtained during explorations by PERICAM.