Treatment of Wound Infection on Knee Following Surgery

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Treatment of Wound Infection on Knee Following Surgery

This case study examines the treatment of a wound infection following a serious knee surgery

Submitted by: Maria Ocampo, Wound CNC, St Vincents Private Hospital, Sydney.

Patient History

  74 man with history of left knee replacement in 2006 due to arthritis and gout.

  Frequent admissions to hospital with infection on the left knee.

  Decision made to remove infected knee prosthesis.

Problem

Inflamed and highly exuding wound.
Inflamed and highly exuding wound.

  Wound swab was positive of +3 Staph aureus.

  Inflamed and highly exuding wound.

  Change of dressings necessary 2-3 times a day due to volume of exudate.

Care Management Plan:

  Referred to wound CNC.

  Recommended application of an Eakin Wound Pouch (size 175×110 mm).

 To contain exudate.

 To reduce amount of dressing changes required.

 To provide a more efficient and effective wound care solution.

Outcome

 The patient reported that he was more comfortable as the dressings did not need to be changed too frequently.

The eakin wound pouch stayed in situ for 5 days.

 The wound was able to be assessed without removing the wound pouch.

 Reduced inflammation surrounding the wound.

 Patient reported that there was minimal pain when the bag was changed.

Figure 2: Eakin drainage bag in place
Figure 2: eakin drainage bag in place
Figure 3: Seven days following application
Figure 3: Seven days following application