Exciton Clinical Study: Uniontown Hospital

Kristi Peperack, PT, CWS, Lymphedema Specialist Uniontown, PA

Clinician Skillsets and Background

Physical Therapist Certified Wound Care Specialist (CWS) Lymphedema Specialist Workplace: Dedicated Hospital-owned Wound Care, Lymphedema and HBOT Department

Patient Population Treated

Total patients treated in study was 20 outpatients and 10 inpatients with diagnosis including:

Venous Non-healing surgical wounds Diabetic foot ulcerations Pressure ulcers Post operatively on incisions Painful Arterial ulcers Acute cellulitis

Case Studies in this PowerPoint presentation: 3

Case Study: Venous Ulcer Patient

Location: Outpatient Trial period: 3/23/10 4/2/10 Diagnosis: Severe Peripheral Vascular Disease Wounds appear with heavy bioburen Modalities/Products used: MIST Therapy/Compression dressing management/Exsalt SD7 Outcome: Wounds without bioburden, granulating, decrease in exudate, continued using Exsalt SD7 for this patient after the trial with excellent results

Case Study: Venous Ulcer Patient

No trauma to the wound bed upon removal Exsalt SD7 does not stick to wound base upon removal Easy to apply to wound Does not cause staining

Case Study: Venous Ulcer Patient

Following the use of Exsalt SD7 in combination with compression therapy, the patients wounds decreased in size, appeared cleaner, without bioburden or odor, and minimal drainage. Pain with Exsalt SD7 dressing (as stated by patient): None

Case Study: Diabetic Foot Patient

Location: Outpatient Trial period: 2/1/10 4/2/10 Diagnosis: Non-healing Diabetic Foot Ulceration Wound appear with heavy bioburen and heavy drainage Initial Modalities/Products used: Pulse lavage, Cadexomer iodine paste until granulation tissue filled in wound base Subsequent Modalities/Products used: Offloading modality and use of Exsalt SD7 to closure Outcome: Wound closure

Case Study: Vascular Ulcer Patient

Location: Outpatient Trial period: 2/8/10 3/15/10 Diagnosis: Vascular disease, undergoing dialysis Wounds blistering, seeping serous exudate, malodorous, painful Modalities/Products used: MIST Therapy/Compression dressing management/ Exsalt SD7 Outcome: Wound closure to all wounds

Before (pictures on left) After (pictures below)

Conclusion

Exsalt SD7 was successfully used on venous, diabetic and vascular wounds. There was evidence of bacterial reduction with decreased odor, decreased exudate, and decreased biofilm on the wound bed. Exsalt SD7 was used as the contact layer on multiple patients from initial presentation to the wound center through closure eliminating the need for multiple products. Exsalt SD7 is an excellent dressing choice for a variety of wounds from acute painful surgical wounds to chronic wounds with some absorptive ability and excellent antibacterial protection especially under compression which is changed every 4 to 7 days. Based on these results, exsalt SD7 Wound Dressing will be added to the Uniontown Wound Clinic formulary