Allan

The product is called Virucide, contains iodine; from a company called CBR. Telephone # 1-208-353-0158
 

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I would be worried about that also. Most dressings are not meant to be left on for more than a few days at the most, and I would never leave a dressing in a wound for two weeks. For infected wounds, a sliver-containing dressing can be used that would help fight the infection, and sometimes can be left on for a few days at a time. Please see a wound specialist who can look at this wound and guide you.

Vicki, PT, DPT, CWS
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My understanding according to the current standards of practice is that the ulcer itself is measured (length 12:00-6:00 or head to toe, and width 3:00-9:00 side to side), then you should document and describe the surrounding tissue, (because the surrounding tissue is not the ulcer), but can be denuded, have erythema, induration, warmth, maceration, scar tissue,purple in color which could be deep tissue trauma, and the list goes on. All undermining and tunneling is part of the ulcer and should be documented as such. An example: Stage III pressure ulcer to the coccyx measuring 3.4cm x 4.0cm x 0.3cm, 50% beefy red granulation tissue and 50% yellow stringy slough with 0.5cm undermining from 3:00 to 9:00, wound margins are defined and maceration noted from 2:00 to 6:00 and a rolled edge from 9:00 to 12:00, moderate serous exudate without odor, periwound has blanching erythema and denuded epidermis measuring 12.0cm x 12.0cm, no warmth or induration noted. I hope this helps.
R DeLaney LPN,CWS

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 I would recommend using 1/4 inch packing with AMD (Kendall product and effective against MRSA) or using Bactroban 1-2x/day with the 1/4 inch packing. Generally with MRSA I recommend changing 2x/day which such a young child. Then do some investigation about what could be causing this (in house, on adults)?

Lisa MPT, CWS

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I can understand you concern about 16 days with the same gauze in the wound. I personally went through the same situation 20 years ago. I had a boil which was lanced and had to remove aprox. 1/4 to 1/2 and inch a day. It healed just fine! The thing you need to do is to make sure you are watching the tissue around the wound to observe if there is any increased redness or swelling or warmth, if so call the Dr. ASAP, also you should be taking his/her temp daily around the same time because kids don't always have a high temp if there is infection until it is way past the time when you can keep them off IV antibiotics.

unsigned

unsigned

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I redress many pilonidol sinus's, in my position as a practice nurse, we use either sorbsan ribbon (alginate) or aquacel (sometimes with silver - ag - if necessary) ribbon. A wound should generally heal less than 4 months. I had one patient whos sinus would not heal and it turned out to be a fistula, leading into the rectum. A referral back to the surgeon would be appropriate a.s.a.p.
Mary RGN. Devon, England.

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it is not reccommened because the product guidelines on indicate this gel for diabetic ulcers.
maureen, lpn wcc

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Regrainex is officially approved for diabetic ulcers, but some clinicians use it on other wounds as well. It should be used only on clean wounds.

Vicki, PT, DPT, CWS

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Was the cyst removed with its entirety? Otherwise, you may need surgical removal or it may continue to grow back. My experience with pilonidal cysts are that there is too much red (granulation) tissue and it needs to be silvernitrated and some sort of antimicrobial or even a dressing called Mesalt. I would recommended finding a physician who knows a lot about wound care or going to a wound center for best choices. Regranex does speed up healing in a lot of wounds and is a great treatment but insurance won't always cover it if not diabetic wound, but still many times can get it covered. Best to go to a specialist and have them evaluate it.

Lisa MPT, CWS
 

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This is not absorbed by the body. it MUST be removed. Tell the doctor immediately. Michelle

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 Figure a way to get it out or go see a doctor so that they can open the area and remove it. The gauze can act as a foreign body and eventually get an infection (possibly). I would figure a way to get it out more than likely will cause a problem in the future. Lisa MPT, CWS

Renee

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Check with your Texas Nursing Licensing Board for the answer.

Lee. A. Beck RN, BSN, CWS, FCCWS

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 You need to get your Nursing State Practice Act for Texas. Usually, you can call the nursing board or get it online. I would get the information in writing and not rely on any outside source, afterall, it is your license. Lisa MPT, CWS