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We have many patients with long standing diabetic ulcers who leak into the sock liner of the aircast boot, what is the best way to clean this and keep it infection free?

 

You can try machine or hand washing, but we tend to replace the liner

 

Thanks Stephen for answering. In South Africa the cost of replacing the innersole of the aircast is R500 for 3 and replacing the neoprene inner is another R500 each, Therefore if the boot is "locked" on with the dressing on for 1 week and the wound is high exudating this means a dressing change may end up costing an extra R667.00. The neoprene may be washed and tumbledried but this often causes damage. The innersole may be wiped with disinfectant, but how effective is this and what happens when you have fitted a custom made support into the aircast, is just wiping this adequate? Several studies have been done on the bacterial loading within the standard shoe, if the aircast is a carrier of infection could there be strike through in the case of high exudating wounds?
Sorry to sound so pedantic but the thought has crossed my mind.

 

HI Helen,

Have you tried using tubifast instead? I have used this when the origional sock was soiled.

Declan