Dakin's Solution: Is There a Place for it in the 21st Century?

Duarte, B; Cabete, J; Formiga, A; Neves, J

http://hdl.handle.net/10400.17/3376

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Abstract(s)

Dakin's solution (DS) is a time-honoured antiseptic that still remains part of the wound care armamentarium. In spite of its cytotoxicity, some question its use in the current era. We report the case of a 52-year-old diabetic woman who was admitted for sepsis because of a severely infected diabetic foot. Urgent surgical drainage and debridement left a 9 × 9-cm deep, complex, infected wound with both bone and tendon involvement. Treatment with local negative pressure was unsuccessful. DS was regularly instilled through a tube left in the wound dressing. A marked improvement was observed with this strategy as the wound bed was much cleaner and fully granulated after 6 weeks. No adverse effects were noted. This case debunks the myth that topical antiseptics necessarily impair wound healing. DS can still be considered an option for difficult-to-treat, complex and heavily infected wounds.

Keywords

Anti-Infective Agents, Local Dermatologic Agents Diabetic Foot Female Humans Middle Aged Sodium Hypochlorite Treatment Outcome Wound Healing Wound Infection HSAC DER HCC CIR