Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Should the biofilm be removed after phenolisation

Discussion in 'Diabetic Foot & Wound Management' started by the brainstormer, Dec 7, 2010.


  1. Members do not see these Ads. Sign Up.
    After my training in advanced wound care several years ago I started to use moist wound healing for the first week, remove the biofilm from the wound in the sulcus then continue with a drier dressing to encourage epithelialisation.

    I seem to have better results, is anyone else doing this? am I completely wrong?
     
  2. mburton

    mburton Active Member

    I tend to match post nail surgery dressings to level of exudate, but also lifestyle - if the wound is going to become wet every day then a 'cheap and cheerful' non adherent dressing changed every day after bathing works well. In my own experience I wouldn't expect a biofilm to have formed just a week post surgery, although one can certainly form after a few weeks and can easily be 'peeled' away with a scalpel.

    As a general rule all devitalised tissue should be debrided from a wound to optimise conditions for healing.

    best wishes
     
  3. I always think of it as biofilm as when I remove it with forceps it peels away just like biofilm. In some diabetic wound inspite of the antimicrobial used biofilm can be removed in 1 week but that is a chronic wound. Maybe I am removing the devitalised tissue from the phenolisation process.
    Thanks for your response.
     
Loading...

Share This Page