Comparative study between Phenytoin and Sucralfate dressing in diabetic foot ulcers
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 3, Issue 1
Abstract
Background: Successful diagnosis and treatment of patients with diabetic foot ulcers involves a holistic approach that includes optimal diabetes control, effective local wound care, infection control, pressure relieving strategies, restoring blood flow. Phenytoin and sucralfate are drugs which have helped in wound healing and in filling of granulation tissue faster compared to other medicated dressings. In this study, we assess the efficiency of topical phenytoin compared to topical sucralfate in conventional wound care in improving the healing process in diabetic ulcers and prove that topical phenytoin and topical sucralfate can be used as relatively low cost, and is a better alternate in management diabetic ulcers. Methodology: This study is the comparison between the two types of dressings as to which is better. A randomised control trial was performed with 33 patients undergoing phenytoin dressing, 33 patients undergoing sucralfate dressing and rest 33 saline dressing. Daily dressings were done and the changes in the depth and width of the ulcers were considered. Results: Normal saline dressings reduced the size of the ulcer by 1.2x1.5cms, Phenytoin by 2.1x2.12cms and Sucralfate by 2.12x2.3cms respectively with the p value of 0.001, within the given period of time.
Authors and Affiliations
Sonali Prabhakar, Natasha Mathias, Moosabba M S
Keywords
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