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What causes decubitus ulcer?

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Posted on Fri, 22 May 2015
Question: decubitis ulcers
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Answered by Dr. Erion Spaho (2 hours later)
Brief Answer:
Pressure reduction is the cornerstone of treatment.

Detailed Answer:
Hi and thanks for using HCM.

Decubitus ulcers or pressure sores are treated first by reducing pressure continuously.

If you are capable to shift your weight every 10 minutes, you have to do so.

Repositioning should be performed every 2 hours.

Special support surfaces ( air cells mattress) help in this process.

Maintaining a strict hygiene is also indispensable.

In advanced ulcers, surgical debridement may be needed.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.


Above answer was peer-reviewed by : Dr. Neel Kudchadkar
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Follow up: Dr. Erion Spaho (6 hours later)
re ulcers: is there any benefit to various topical applications? ie., neosporen, silver solution gel, a&d ointmet,etc., also, re repositioning: she is always sitting on cushons with the V cut in the back under the tailbone, she is only in bed for nites... any different suggestions...it's about 1/4 inch across with a small dent like hole in the center, doesn't seem to ooze at all, began about a month ago a little larger and decreased in size somewhat but fairly unchanged the past week.....we cover it at nite with desenex because she wears depends at nite and usually wets by am......further comments??
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Answered by Dr. Erion Spaho (4 hours later)
Brief Answer:
Cream wit hialuronic acid helps.

Detailed Answer:
Hi again XXXX.

Neosporin is an antibiotic and is used when there are infected wounds.

Silver gel is an antimocrobial too.

If it doesn't ooze it means it is not infected.

As I stated before, keeping the wound and its surroundings very clean is vital.

Together with pressure reduction, creams that speed wound healing should be used.

These include creams that contain Ialuronic acid ( Altergen, Cicatrix) etc.

Hope I helped you. Best regards.



Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4268 Questions

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What causes decubitus ulcer?

Brief Answer: Pressure reduction is the cornerstone of treatment. Detailed Answer: Hi and thanks for using HCM. Decubitus ulcers or pressure sores are treated first by reducing pressure continuously. If you are capable to shift your weight every 10 minutes, you have to do so. Repositioning should be performed every 2 hours. Special support surfaces ( air cells mattress) help in this process. Maintaining a strict hygiene is also indispensable. In advanced ulcers, surgical debridement may be needed. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.