The Application of Modern Dressings to Buruli Ulcers: Results from a Pilot Implementation Project in Ghana

Kristien Velding Infectious Diseases Unit, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

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Sandor-Adrian Klis Infectious Diseases Unit, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

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K. Mohammad Abass Agogo Presbyterian Hospital, Agogo, Ghana.

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Tjip S. van der Werf Infectious Diseases Unit, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Department of Pulmonary Diseases and Tuberculosis, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

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Ymkje Stienstra Infectious Diseases Unit, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

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Buruli ulcer (BU) is a tropical, infectious skin disease. The resulting ulcer can take a long time to heal, and a high standard of wound care is essential. Currently, the only dressing used for BU wound care is gauze, and its removal causes pain and bleeding. We performed a pilot implementation project using HydroTac® (HARTMANN, Heidenheim, Germany), a modern dressing combining foam with a hydrogel component. For future BU treatment, we recommend to use a more absorbent dressing than the HydroTac dressing used in the current project. However, we show that modern dressings can be applied to BUs and that HydroTac dressings yield clean, healing wounds, and prevent the pain and bleeding associated with gauze dressings. Wound care is a vital but to date neglected aspect of BU management.

Author Notes

* Address correspondence to Sandor-Adrian Klis, Infectious Diseases Unit, Department of Internal Medicine, University Medical Center Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands. E-mail: s.klis@zgt.nl

Financial support: The HydroTac dressings and Hydrofilm were kindly provided by Hartmann free of charge. Ymkje Stienstra received financial support from the Netherlands Organisation for Scientific Research (VENI grant) and the Gratama Foundation.

Authors' addresses: Kristien Velding, Sandor-Adrian Klis, Tjip S. van der Werf, and Ymkje Stienstra, Infectious Diseases Unit, Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands, E-mails: k.velding@umcg.nl, s.klis@zgt.nl, t.s.van.der.werf@umcg.nl, and y.stienstra@umcg.nl. K. Mohammed Abass, Agogo Presbyterian Hospital, Agogo, Ghana, E-mail: abass@agogopresbyhospital.org.

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