Authors (including presenting author) :
Kwan WK, Lam WS, Ng KK, Ngan HL
Affiliation :
Wound & Stoma Care Team, Nursing Service Division, United Christian Hospital
Introduction :
Granuloma is quite common among those patients with drain site where patients will feel the pain and have wound bleeding (James and Zumla, 1999). There are multiple factors causing granuloma such as wound infection or irritation etc. (James, 2000).
Chlorhexidine Gluconate Swab has been considered as an effective agent in treating inflection (Vernon et al 2006 and Bleasdale et al 2007). Therefore, the effectiveness of the application of 2% w/v Chlorhexidine Gluconate Swab on granuloma for patients will be investigated in this study for those patients with granuloma on drain site.
Objectives :
(1) to decrease the size of granuloma; (2) to evaluate the effectiveness of 2% w/v Chlorhexidine Gluconate Swab on granuloma
Methodology :
A retrospective case study was carried out. There were total 9 patients fit the inclusion criteria and were selected in the project. Their progresses were recorded and observed by the CNS in four consecutive weeks in Q3 2018. The wound types of the patents were Percutaneous endoscopic gastrostomy (PEG), Suprapubic (SP) Foley and Percutaneous Transhepatic Biliary Drainage (PTBD). The major cases were PEG (4) and PTBD (4). CNS would apply the 2% w/v Chlorhexidine Gluconate Swab on granuloma of the patients. The size of granuloma would be recorded weekly to monitor the progress on the drain sites.
Result & Outcome :
The size of granuloma among six patients were decreased and three of them were subsided after four weeks. The percentage of decreases of the granuloma size among the patients was from 50% to 85.7%. The effectiveness of application of 2% w/v Chlorhexidine Gluconate Swab on granuloma and the amount of exudate on drain site were studied among the nine patients. The granuloma size of the patients was reduced gradually and the amount of exudate was reduced as well. Conclusion By using the 2% w/v Chlorhexidine Gluconate Swab, the size of granuloma on drain site was reduced for most of the patients over the observation period. Further investigation in randomized control trail is needed in future effect of 2% w/v Chlorhexidine Gluconate Swab on granuloma as there are a few other contributing factors such as limited sample size.
