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BURULI ULCER - A devastating skin disease

BURULI ULCER - A devastating skin disease . Enhancing early wound healing- Use of HYDROGEL Edwin Ampadu; MD, MPH, FAPWCA. Introduction . BU treatment developmental trend Why the further topical application – Hence the topic of my presentation enhancing wound healing

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BURULI ULCER - A devastating skin disease

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  1. BURULI ULCER-A devastating skin disease Enhancing early wound healing- Use of HYDROGEL Edwin Ampadu; MD, MPH, FAPWCA

  2. Introduction • BU treatment developmental trend • Why the further topical application – • Hence the topic of my presentation enhancing wound healing • Preliminary observations made on the field • Challenges to implementations • Possible way forward

  3. BU treatment development trend • Treatment –surgery with wide and extensive excision, wound dressing and Split Skin Graft

  4. Challenges • Program continues to record massive lesions Cat lll

  5. Antibiotics treatment • Recommendation – WHO • Results very encouraging • However; operational challenges • geographically difficult to offer community treatment, • cost implications, • Battling with superstitions in the communities about the disease

  6. After treatment Before treatment After 12 month follow-up

  7. lesions with antibiotics only

  8. Further improving case management Indication to use hydrogel • Further reduce the wound healing time whiles continue treatment with antibiotics for 8 weeks • Early healing than before

  9. Why the further topical application Make treatment more acceptable/ friendly to client and communities -[ wound heal duration<; can be administered by patients, cost effective

  10. Preliminary observations made on the field

  11. Hydro gel application Trial parameters • 2 endemic sites were selected • Total patients affected- 15 • Male 3 • Female 12 • Children 7 • Adults 9 • Period of application – 6 weeks • Average days of change of dressing – 3-5days

  12. Wound Healing catches on well with a whole community Observations

  13. Week 2 Initial Week 4

  14. Week 2 Initial Week 4

  15. Week 2 Initial Week 6 Week 4

  16. Initial Week 2 Week4 Week 6

  17. Week 2 Initial Week 6 Week 4

  18. Week 2 Initial Week 4

  19. Week 1 Initial Week 3

  20. Week 2 Initial Week 4

  21. Week 2 Initial Week 4

  22. Implementation challenges • Access to patients in communities • Improve health education on the disease • Picture of vehicle • Late attending to patients • night

  23. Reaching patients in difficult areas

  24. Ministry of health – Dressings, transport, personnel WHO- educational materials, audio-visual tools for community education, transport Support with the Gel from McCard foundation Other supports

  25. Way forward • Strengthen support to reach patients in rural communities • Gradual scale up of the application • Improving knowledge to enhance wound healing in our challenging world

  26. Thank you

  27. Other challenging lesions

  28. Week 2 Initial Week 4

  29. Week 1 Initial Week 3

  30. Week 1 Initial Week 3

  31. Week 2 Initial Week 4

  32. Week 2 Initial Week 4

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