Technology update Expert consensus on a new enzyme alginogel
may have promoted granulation tissue formation. After continued use of Flaminal three times a week for six months,the wound reduced in size from 12cm2 8.9cm2
to [Fig 12].
Czech experience A 60-year-old man presenting with an infected venous leg ulcer of three months duration was treated with Flaminal. The wound exhibited necrotic margins and high exudate levels with an expanding area of wound pain. Swab tests were positive for Pseudomonas aeruginosa and Escherichia
coli. This man was previously under the care of a GP who had opted for local antibiotic ointments and compression bandages. The new strategy involved daily dressing changes (with effective compression), using Flaminal without the concurrent administration of oral antibiotics. [Fig 13-16] demonstrate therapeutic antimicrobial activity through bioburden reduction. The Flaminal also managed the associated exudate and was easy to use. Of clinical significance was the finding
that after one week the wound was granulating and clear of slough. After one month, swab tests for infection were
References
14 Kantor J, Margolis DJ. Expected healing rates for chronic wounds. Wounds 2000; 12(6): 155–58.
15 Gelfand JM, Hoffstad O, Margolis DJ. Surrogate endpoints for the treatment of venous leg ulcers. J Invest Dermatol 2002; 119(6): 1420–25.
Figure 13: Venous leg ulcer in a 60-year-old man (above).
Figure 15: The wound after one month’s treatment.
Figure 14: The same wound area shown after one week’s treatment (above).
Figure 16: The wound after five months’ treatment.
16 European Community. European Standards: Medical Devices. Test Methods for Primary Wound Dressings. Part 1: Aspects of Absorbency. 2011; Available at:
http://ec.europa.eu/enterprise/ policies/european-standards/ harmonised-standards/medical-
www.woundsinternational.com
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