A minor wound complication occurred in 3 (6.0%) ankles in group A and in 5 (9.3%) ankles in group B; all resolved after topical dressing changes.
This result is felt to be particularly topical given the changes currently underway in radiology practice worldwide, where there is often a drive to make radiology an 'off site' specialty.
Topical medications were changed immediately to hourly fortified cefazoline 5% and tobramycin 1.3%.
Due to a clinically suspected infection, topical treatment was changed to oxytetracyclin-polymyxin-B ointment, ciprofloxacin and chloramphenicol eye drops six times daily and topical atropine once daily.
Based on the results of the sensitivity testing, topical antibiotics were changed to oxytetracyclin/polymyxin B [Terramycin-Polymyxin B (see footnote 2] three times daily, and antiviral and anti-inflammatory treatment was continued.
The ulcers were not curable for at least 3 months prior to the enrollment using conservative treatments including daily dressing change, topical application of antibiotic ointment, and synthetic dressing coverage using Aquacel and DuoDERM (ConvaTec, Garenne-Colombes, France).
All strategies include interventions that should precede oral NSAID use, such as lifestyle change, topical NSAIDs, paracetamol, and glucosamine; this study did not include any of these, as they are not conventionally implicated in gastrointestinal damage.
In case of Pseudomonas ESI, systemic antibiotic treatment with oral ciprofloxacin monotherapy or in combination with intraperitoneal (IP) gentamicin or ceftazidime was given for at least 14 days and the prophylactic topical mupirocin was changed to regular topical gentamicin 1% cream.
Both collective and individual forms of involvement were of interest, as well as the impact of factors, such as organisational change and service reorganisation, topical concerns considering the significant changes in the structure of the NHS implemented by the UK coalition government since 2010.
The SASSAD is sensitive to changes in topical steroid requirements, pruritus, and sleep loss [30], [31], [32], [33], [34].
