The Continued Utility and Viability of Dakin’s Solution in Both High- and Low-resource Settings | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 11، دوره 8، شماره 2، خرداد 2020، صفحه 198-203 اصل مقاله (3.28 M) | ||
| نوع مقاله: TECHNICAL NOTE | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2019.34372.1906 | ||
| نویسندگان | ||
| Taylor D. Ottesen* 1؛ Rameez A. Qudsi2؛ Alexis K. Kahanu3؛ Belychagard Jean Baptiste4؛ Pierre Marie Woolley5؛ Adrienne R. Socci1؛ George S.M. Dyer6 | ||
| 1Yale School of Medicine, Department of Orthopaedics and Rehabilitation, New Haven, Connecticut, USA | ||
| 2Harvard Combined Orthopaedic Residency Program, Harvard Medical School, Boston, Massachusetts, USA | ||
| 3Tufts University School of Medicine, Boston, Massachusetts, USA | ||
| 4Hôpital de l’Université d’É tat d’Haïti (HUEH), Port-Au- Prince, Haiti | ||
| 5Hospital l’Universite de La Paix (HUP), Port-Au-Prince, Haiti | ||
| 6Harvard Medical School, Boston, Massachusetts; Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, Massachusetts, USA | ||
| چکیده | ||
| Healthcare is expensive and often inaccessible to many. As a result, surgeons must consider simple, less expensive interventions when possible. For wound care, an older but quite effective cleaning agent is Dakin’s solution (0.5% sodium hypochlorite), an easily made mixture of 100 milliliters (ml) bleach with 8 teaspoons (tsp) baking soda into a gallon of clean water or 25 ml bleach and 2 tsp baking soda into a liter of water. Gauze is then wet with this solution, placed on the wound, and replaced every 24 hours as needed. Our team of surgeons in Haiti and the United States is currently using Dakin’s solution for wound care following orthopedic surgery and finds it to be a low-cost, safe, and effective treatment for post-surgical wound care for both resource-limited and non-resource strained environments. This report aims to update the current literature and encourage the consideration of Dakin’s solution for modern wound care. Level of evidence: III | ||
| کلیدواژهها | ||
| Cost-reduction؛ Dakin’s solution؛ Haiti؛ Low-resource settings؛ Wound care | ||
| مراجع | ||
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