産業医学および健康問題

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Case of Grade 4 Bedsore over Sacral Region with Management: A Case Report

Ashwini Uikey, Bhagyashree Ganeshpure, Roshan Umate

Bedsores, also known as pressure ulcers and decubitus ulcers, are skin and underlying tissue damage caused by continuous pressure on the skin. Bedsores typically appear on skin that covers bony regions of the body, such as the heels, ankles, hips, and tailbone. Debridement is the process of removing dead (necrotic) or infected skin tissue from a wound to aid healing. It can also be used to remove foreign things from tissue. For wounds that aren't healing, surgery is required. These wounds are usually stuck in the early stages of healing. Present complaint and investigations: A case of a 37-year-old male admitted in male surgery ward in AVBR Hospital on date 18/10/2021 with the complaint of non-healing ulcer over the sacral region for 10 day and also having urinary and stool incontinence. He was operated case of vertebral and spinal cord injuries post-RTA & He has bedridden due to paraplegia. after physical examination, investigation doctor diagnosed the case of Grade 4 bedsore over the sacral region and his Debridement of the wound over the sacral region was done and taking treatment for that 2 hourly frequently changing position, dressing of surgical site, catheter care, he was taken ibuprofen, tab. Augmentin 625 mg TDS, tab. Pan 40 mg bd, tab. Limcee OD, tab. Supradyn OD, Syp. Cheston plus TDS, Neb. Duolin, Neb. Budecort BD.