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https://hdl.handle.net/11499/47853
Title: | The Effect of Intralesional Human Epidermal Growth Factor on Wound Healing in Chronic Diabetic Foot Ulcer: A Retrospective Analysis of Patient Results | Other Titles: | Kronik Diyabetik Ayak Ülserinde İntralezyonel İnsan Epidermal Büyüme Faktörünün Yara İyileşmesine Etkisi: Hasta Sonuçlarının Retrospektif Analizi | Authors: | Gökşin, Şule Çayır, Mustafa Çağdaş |
Keywords: | adverse effect culture diabetic foot Epidermal growth factor wound healing gamma urogastrone hemoglobin A1c insulin oral antidiabetic agent Acinetobacter baumannii Acinetobacter calcoaceticus adult adverse drug reaction aged Article bacterium culture bacterium identification bacterium isolation bone tissue burning sensation chill chronic diabetic foot ulcer chronic diabetic foot ulcer chronic disease clinical article clinical evaluation clinical feature clinical study controlled study Corynebacterium striatum debridement diabetic foot dizziness Escherichia coli female gangrene granulation tissue human human tissue hypotension male metabolic regulation Morganella morganii nausea osteomyelitis pain peripheral occlusive artery disease Proteus mirabilis Pseudomonadales Pseudomonas aeruginosa recurrent peptic ulcer retrospective study sepsis Staphylococcaceae surgical debridement treatment indication treatment outcome tremor wound care wound closure wound healing |
Publisher: | OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S. | Abstract: | Objective: Epidermal growth factor (EGF) plays an important role in wound healing. But, bioavailability of EGF is impaired in chronic diabetic foot ulcer (CDFU) due to increased protease activity. The study's objective was to evaluate the effect of intralesional human-EGF (h-EGF) on wound healing in patients with CDFU. Material and Methods: Twenty-eight patients with CDFU were included to study. 75 µg intralesional h-EGF thrice a week for 5 weeks were used to accelerate wound healing. Ulcer size was calculated by simple planimetric measurement. Specimens for culture were taken from all patients. Granulation response were evaluated with healing grade (HG) [HG-0 ? no response, HG-I ? minimal response, HG-II ? partial response, HG-III ? complete response] and complete wound closure. Pre- and post-treatment ulcers size were recorded to asses treatment outcome. Results: New granulation tissue over the wound (HG I-III) was present in 26 (92.8%) patients at the end of treatment. Complete wound healing (HG III) was achieved in 10 (35.7%) patients, complete wound closure was seen in 3 (10.7%) patients. Pre and post-treatment mean ulcers size were 23.9±18.5 and 6.5±4.8 cm2 (p=0.001). The most frequent adverse events of h-EGF were tremor (32.1%). Total of 47 causative bacterias (14 different types of bacteria) were isolated from 23 (87.2%) patients, whereas cultures were sterile in 5 (17.8%) of the patients. Primarily, Escherichia coli, Proteus mirabilis, Acinetobacter baumannii, Pseudomonas aeruginosa species were seen in rate of 19.1%, 17%, 12.7%, 10.6% respectively. Conclusion: Intralesional h-EGF is effective in the treatment of CDFU, has no serious side-effect and accelerates wound healing. Copyright © 2022 by Türkiye Klinikleri. | URI: | https://doi.org/10.5336/dermato.2022-90463 https://hdl.handle.net/11499/47853 |
ISSN: | 1300-0330 |
Appears in Collections: | Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection |
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The Effect of Intralesional Human.pdf | 1.03 MB | Adobe PDF | View/Open |
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