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Effective use of Cellutome with a necrotising fasciitis patient

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EFFECTIVE USE OF CELLUTOME™ WITH A NECROTISING FASCIITIS PATIENT Liz Davies, Burns & Plastics Nurse; Emma Readman, Burns & Plastics Specialist Nurse University Hospitals of Leicester NHS Trust, Leicester
“Necrotising fasciitis is an inflammatory infection that progresses rapidly, via the fascia, killing the bodies tissues”
“Prevalence is not accurately known due to, under reporting and lack of clinical findings initially (Maya et al 2013). Surgical exploration is considered the gold standard in terms of diagnosis of the infection.”
The Centres for Disease Control (CDC, 2016) state that over the last 6 years 700-1100 cases of necrotising fasciitis caused by Group A Streptococcus occur annually in the US.
In cases of necrotising fasciitis wounds are frequently complex; often resulting in long periods of wound management. Large amounts of skin loss is commonly associated with the infection.
“Alternative solutions to effective wound healing”
CELLUTOME™ provides skin coverage without any associated risks of general anaesthetic
“No need to go back to theatre, CELLUTOME™ was achievable in a nurse led outpatient clinic setting”
Less problematic donor sites
A PATIENT’S JOURNEY
DAY 1-7
HOSPITAL ADMISSION ACUTE PHASE AND EMERGENCY TREATMENT
DAYS 7-DISCHARGE
FURTHER SURGERY AND DEHISCENCE OF WOUND. CONSERVATIVE MANAGEMENT AGREED USING TNP
FOLLOWING DISCHARGE
TNP CONTINUED 3 MONTHS IN A COMMUNITY SETTING
FIRST CELLUTOME CELL HARVEST
SECOND STAGE CELLUTOME HARVEST
97% HEALED BY WEEK 10
DONOR SITES HEALED WITHIN 1 WEEK

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