BURULI ULCER-A devastating skin disease - PowerPoint PPT Presentation

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BURULI ULCER-A devastating skin disease

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

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Title: BURULI ULCER-A devastating skin disease


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 durationlt
    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
Observations
  • Wound Healing catches on well with a whole
    community

13
Week 2
Initial
Week 4
14
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15
Week 2
Initial
Week 4
16
Week 2
Initial
Week 6
Week 4
17
Initial
Week 2
Week 4
Week 6
18
Week 2
Initial
Week 6
Week 4
19
Week 2
Initial
Week 4
20
Week 1
Initial
Week 3
21
Week 2
Initial
Week 4
22
Week 2
Initial
Week 4
23
Implementation challenges
  • Access to patients in communities
  • Improve health education on the disease
  • Picture of vehicle
  • Late attending to patients
  • night

24
Reaching patients in difficult areas
25
Other supports
  • Ministry of health Dressings, transport,
    personnel
  • WHO- educational materials, audio-visual tools
    for community education, transport
  • Support with the Gel from McCard foundation

26
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

27
Thank you
28
Other challenging lesions
29
Week 2
Initial
Week 4
30
Week 1
Initial
Week 3
31
Week 1
Initial
Week 3
32
Week 2
Initial
Week 4
33
Week 2
Initial
Week 4
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