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Dear all,

I've got an obese patient with an infected MRSA right lower limb with extensive venous ulcers. He has such chronic venous ulcers for the past 18 years ( if i've read the history correctly!) The Dr suggested four layer bandaging on his infected leg.
Let me just say that even after using 5 pieces of Biatain Silver Foam dressings, the ulcer sites still cannot be covered adequately.
Currently our hospital is using profore 4 layer bandaging from Smith & Nephew.

Does anyone know if Profore is contraindicated on infected leg ulcers or not?

Cheerios

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Miss Gangrene

Dear Colleague,
Infected wounds are not a contra-indication for compression bandaging. The cruical question is whether the arterial supply is sufficient. If the ulcers are venous in origin then the bandaging system can produce impressive results. So assessment of vascular status would be the next thing needed for your patient.

Hope this helps,
Poll

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If you are on the rollercoaster, open your eyes and enjoy the ride.

Gangrene,

I agree fully with Polly. Compression is the way to go. If you are concerned about the Vascular status, the patient will need a duplex scan.
They should only need to use the silver dressings for acouple of weeks, then standard profore should be OK.
(I take it by Biatain Silver Foam you mean Contreet?)

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Stephen Tucker
Eastern Health
Podiatry Manager

My location

Thanks guys for your valuable input!
Yes Stephen, Biatain Ag is Contreet.I'll try to put up a pic of the dude's leg when I get a chance to do so.

I ended up using Acticoat with Biatain Foam dressing as the supply for contreet was running low!

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Miss Gangrene