While there are several clinical practice guidelines for managing diabetic foot problems, none have yet been developed for ASEAN. The ASEAN Plus Expert Group Forum has been formed in November 2012 to address this issue. Its objective is to develop clinical guidelines to raise the standard of health care provided to patients with diabetic foot wounds in ASEAN Plus countries. Such best practices will benefit healthcare professionals treating such individuals.Two experts have been invited from each member country, namely Indonesia, Malaysia, Philippines, Singapore, Sri Lanka and Thailand to serve a term of 2 years. Members include orthopaedic surgeons, vascular surgeons, a general surgeon, a plastic surgeon and endocrinologists. We would like to thank Smith & Nephew Singapore Pte Ltd for their educational support and sponsorship.
Introduction: Two cases of large, infected, nonresponding wounds in diabetic patients successfully treated with the combined use of a three-layer, hydrophilic polyurethane foam dressing with SMARTPORE Technology ™ and povidone-iodine formulations are reported. Objective was to provide optimized local wound bed preparation to prepare the wound bed for skin grafting. Presentation of cases:In case 1, a 76-year-old male presented with a 4-day history of bullae formation on the right leg due to necrotizing fasciitis. In case 2, a 65-year-old woman with a chronic right foot ulcer sought medical treatment.Main observations: In both cases, the combined use of the polyurethane foam dressing and the selective use of various povidone-iodine formulations provided good exudate absorption, lesser pain during dressing changes, infection control and reduced inflammation, thus enabling the successful management of chronic problem wounds in adult diabetic patients. Conclusion: These cases may further provide clinical data to show that this new polyurethane foam and povidone-iodine products can readily be used together and can be seen as compatible.
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