Skip main navigation

Case study 1 – treatment and follow-up

Treatment and follow-up of the wound infection.

How was the wound treated?

The wound was cleansed with saline. Honey ointment on a paraffin gauze was applied. Non-woven compresses were used and fixation using circular bandages was carried out.

A follow-up of the wound was done three weeks later, on the 27th of November 2018:

A follow up image of the wound, 3 weeks into treatment.

A TIME analysis (step 2.3) was done again during this follow-up:

A TIME analysis of the injury

A vascular assessment showed no arterial occlusions. However, there was limited oedema of the lower leg; the patient refused to wear compression bandages.

The wound was first cleansed with saline. The patient had silicone contact layers at home, so that was used instead of honey ointment. Additionally, non woven compresses were applied and fixation with circular bandages was continued for treatment. A biweekly bandage change routine was also implemented after this follow-up.

A second follow-up of the wound was done on the 8th of January, 2019, two months after the initial consultation:

A follow up image of the wound, 2 months after initial consultation.

The TIME analysis of the wound now showed the following results:

A TIME analysis of the wound.

There was a positive wound sample again, and it had become static. The wound was cleansed with saline and during the patient’s shower. As the wound bed was easily bleeding, a bandage that would not have to be changed daily was chosen – hydrofiber silver dressing was applied twice a week. Non woven compresses and circular bandage fixations were continued.

A final follow-up on the 22nd of January, 2019 was done.

It showed that the wound was now closed. Hydration of the skin was ensured using lipophilic cream daily.

An image of the closed wound.

This article is from the free online

Antimicrobial Stewardship in Wound Management

Created by
FutureLearn - Learning For Life

Our purpose is to transform access to education.

We offer a diverse selection of courses from leading universities and cultural institutions from around the world. These are delivered one step at a time, and are accessible on mobile, tablet and desktop, so you can fit learning around your life.

We believe learning should be an enjoyable, social experience, so our courses offer the opportunity to discuss what you’re learning with others as you go, helping you make fresh discoveries and form new ideas.
You can unlock new opportunities with unlimited access to hundreds of online short courses for a year by subscribing to our Unlimited package. Build your knowledge with top universities and organisations.

Learn more about how FutureLearn is transforming access to education