A case report of pressure ulcer healing using ۲ g of sucralfate daily

Introduction: pressure ulcer is a kind of tissue damage made by pressure and can involve various tissues such as skin, muscle, cartilage, and bone. Hospitalized patients in intensive care units (ICU) and the elderlies are more exposed to this type of ulcers. A pressure ulcer can reduce life quality, disability, and even death. On the other hand, it increases the risk of nosocomial infections, hospitalization duration, and so the financial load on the medical system. In addition, it is considered as one of the important medical and nursing challenges. Introducing patient: the patient is ۶۰-year-old man who was hospitalized in ICU for one month in January ۲۰۱۸ because of decreased level of consciousness. A pressure ulcer, grade ۴, at about ۱۵*۱۵ cm with a depth of ۴ cm with exudate secretion and discoloration of the yellow substrate (slab tissue) with necrotic tissue was made around the ulcer. The patient ulcer in ICU sector was dressed daily with silver sulfate ointment which had no improvement. The necrotic tissue of the ulcer was healed and washed with normal daily saline after the increase of consciousness level and patient transfer to the hospitalization sector and was covered by ۲ g of sucralfate tablets (۴ tablets of ۵۰۰ mg) dissolved in ۵ ml of distilled water and mixed with ۱۵ g of sulfur sulfate ointment. Finally, it was dressed by sterile gas and glue. PUSH tool was used to improve ulcer. The patient ulcer was changed to a pressure ulcer, grade ۲, after ۷ weeks with the dimension of ۵*۵ cm with pink bed (Granular tissue enclosed with epithelial tissue) as same as skin. The patient was discharged home on a daily dressing order.Conclusion: pressure ulcer is considered as an important challenge in the medical system and the proper and timely remedy for this type of ulcers is vital. Using sucralfate with the mechanism of stimulation of prostaglandins, providing a protective coating on the ulcer, enhancing local blood flow, stimulating the development of epithelial growth factors, and cell migration in ulcer healing is useful among the used medicines and various plant and chemical compounds to improve and amend the ulcers quickly.

کلیدواژه ها:

pressure ulcer ، healing ، sucralfate ، silver ointment