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KMID : 1002320040020040033
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Journal of Animal Medical Science
2004 Volume.2 No. 4 p.33 ~ p.36
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Wound management using sugar at severe contaminated wound in a dog
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Hong Yeon-Jung
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Abstract
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Large contaminated wounds are difficult to manage and treatment also expensive. Sugar has a bactericidal effect through its osmotic action, which draws macrophages to the wound. A 2-years old female Maltese was referred to Royal Animal Medical Center with a complaint of severe septic wound on left lateral flank and thigh by automobile accident. An estimated area of 15% of total body surface was lost. After stabilization, initial wound management started with debridement of necrotic tissue and removal of foreign materials and lavage with warm saline. Then the patient was treated with general antibiotics. On the third day after hospitalization, an obvious odoriferous discharge and septicemia was found. Sugar therapy was also initiated with antibiotics at this time. Within 24 hours, the wound was much clear and malodor was diminished. At 48-72 hours after wound lavage, a fine, pale layer of granulation tissue and a shiny film were observed over the wound and no odor was detected. The wound was first closed by skin grafting at 9 days but the gaping between the lips was found even after 5 days (14 days of hospitalization). At 14 days, again the injury was closed by cosmetic surgery. Complete healing was achieved in one month after admission and the dog returned to normal life. Thus the use of sugar can be an effective and economical approach to managing large wounds.
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KEYWORD
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contaminated wound, sugar therapy, dog
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