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HI, My Sister Is Being Treated With Gentamicin For A

Posted on Thu, 22 Nov 2018

Question: HI, my sister is being treated with Gentamicin for a wound and it does not seem to be better after 2 weeks of treatment. Should she receive another type of treatment?

Answered by Dr. Hari Charan Perigela (38 minutes later)

Brief Answer:
I would like to have some more information

Detailed Answer:
Hi
I would like to have some more information.
1.Where is the location of the wound.If you do not have any objection, please post the pic showing it
2.What is the cause of the wound? Whether it is due to trauma or Infection?
3.Whether Gentamicin is used as Injection or local application?
Please come back.with answers for above questions.
I will clarify.
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hari Charan Perigela (1 hour later)

Hello Dr. Perigela,
My sister is 800 miles away from me. She lives in Ohio in a facility for the Mentally Challenged. So I have not seen the wound. She sits in a wheelchair most of the day so I believe the wound has been caused from pressure. It is located on her buttocks and I do not have a picture of it. However, my other sister will go to the follow-up visit at the Wound Clinic in XXXXXXX and take a picture of it then on November 1. The Gentamicin is being used as a local application. Thank you so much for your help. Tonya Toole, Phd.

Answered by Dr. Hari Charan Perigela (14 minutes later)

Brief Answer:
She might have developed Pressure Sore

Detailed Answer:
Hi
As per your description,it looks like she has developed Pressure Sore.
If she is on bed,her position has to be changed frequently.
Airbed will help her
Even on Wheelchair,small Water pillow should be used.
As wound is already formed, dressing should be done regularly.If dark dead/necrotic tissue is present over the wound,it should be removed.
She should be shown to a wound specialist.
Antibiotic ointment should be applied only in presence of infection.
Hope I answered your query.If you have any questions,I will clarify further.
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hari Charan Perigela (20 minutes later)

Thank you so very much, Dr. Perigela. I will take your recommendations to the facility that cares for her and I greatly appreciate your advice. Tonya Toole, PhD

Answered by Dr. Hari Charan Perigela (10 hours later)

Brief Answer:
Thank you for your response

Detailed Answer:
Hi
Thank you for your response.
Regards

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Above answer was peer-reviewed by : Dr. Remy Koshy