A collaborative study with Harvard Medical School
CARBUNCLE WOUND
MaxioCel - 100% Chitosan Wound Dressing on Carbuncle Wound
Center
Shreedevi Hospital, Mumbai-India: Dr.M.Dhuru
Patient details: 49 years, Male
Diabetes: No
Nicotine Consumption: No
Localized Infection: Yes
Nutritional Status: Well nourished
Co-morbidities: None
Current Medication: Localized treatment with saline and gauze
Wound History: Patient suffering from an exudating Carbuncle wound on the left shoulder from a period of 1 month with measurements being L=80mm, D=10mm and W=60mm
Tissue type
Initial Wound Bed Evaluation
| Infection (Local Factors) | Yes | No |
| Exudate | ✓ | |
| Erythema | ✓ | |
| Malodorous | ✓ | |
| Pain | ✓ | |
| Oedema | ✓ |
| Exudate | Dry | Low | Medium | High |
| Levels | ✓ |
| Exudate | Watery | Cloudy | Thick | Purulent | Red |
| Type | ✓ |
Wound before MaxioCel treatment
Wound after 14 days of MaxioCel treatment
Wound Management Goals
| Parameters | Yes | No |
| Debridement | ✓ | |
| Infection Prevention | ✓ | |
| Exudate Management | ✓ | |
| Optimum Moisture Maintenance | ✓ | |
| Protect granulation tissue / Epithelializing tissue | ✓ |
End Report
| No of MaxioCel dressings done | 7 |
| Frequency of MaxioCel dressings | Alternate days |
| MaxioCel Variant used | MX1010 |
| Final day wound condition | Exudate levels significantly reduced, wound has granulated and margins contracted to 1/4th the size. |
Result
| Patient Outcome with Maxiocel | Ease of Application/Removal | Antimicrobial barrier | Wound adherence | Conformability | Wound scar improvement | Pain management |
| Excellent | ✓ | |||||
| Good | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Fair | ||||||
| Poor |
Discussion
- A carbuncle is a cluster of boils that form a connected area of infection. Carbuncles often occur at the back of the neck, shoulder or thighs.
- People suffering from Carbuncle wounds often feel unwell and may require proper systemic treatment along with the localized treatment of the wound.
- In the shown case, the wound debridement had already been performed multiple times, the prime objective was infection prevention and promotion of faster healing.
MaxioCel dressings were initiated as the treatment regimen and within 7 dressings(alternative days) over a period of 15 days, a significant reduction in wound size and exudates were observed.