Formulary Case Report: Diabetic Toe
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Subject:
53 Year Old Male – BCBS member
Primary Diagnoses:
Diabetes
Location:
Right Foot
Wound Type:
Surgical wound resulting from a diabetic ulcer of the little toe
Prior History:
Osteomyelitis -inflammation of the bone and bone marrow, usually caused by bacterial infection. Patient’s amputation wound was present 3.5 months before the wound became infected, which in turn infected the bone. The patient was then scheduled for a leg amputation below-the-knee (BTK) to prevent a life threatening bone infection. The vascular surgeon, at the patient’s request, agreed to refer the patient for Formulary wound treatment.
Treatment Protocol:
AHS’ Formulary beginning 6/23/04.
Standard Care:
Debridement, dry gauze dressing and wrap.
Planned Care:
Amputation below the knee.
Patient Outcome:
After one week of Formulary wound treatment the results were visible to the vascular surgeon and the patient. The patient reported no pain, local swelling was greatly reduced and the systemic antibiotics being taken by the patient began to take effect. The amputation was averted. By week 9 the wound was 75% closed. Treatment was discontinued once wound closure reached 96%. BCBS is estimated to have saved $140,000 in amputation, hospitalization, physical therapy and prosthetic costs.
Healing Progress 06.23.2004  09.29.2004 |
