Treatment Of Suture Wounds That Secrete Pus In Diabetics?
, my father had DM, then he was injured until he was sewn. This is the 9th day. And the wound was at the edge of the suture with pus. The same doctor was given Terramicin ointment. So I change the bandages every 2 days. What I’m asking is, is there an ointment that can quickly dry out the stitches, and how long does it usually take to remove the stitches for people with DM? R nThank you
Hello Ulil Hikmah, thank you for your trust in HealthReplies.com.
Wound care for people with diabetes mellitus does require special attention, especially if the condition of an increase in blood sugar levels in that person is not controlled (for example due to not routinely taking medication or not knowing having DM conditions).
Suturing the wound itself aims to reunite the skin tissue or other organs that are in an open condition in order to close as before. Especially for suturing wounds to the skin, threads that are not normally absorbed are used, so control is needed to return to the health facility to open the stitches after the wound is dry. In normal people the process can generally take 7 days (depending on whether there are other complications or not).
Wound healing time varies, depending on the location, the presence or absence of infection in the wound, and other complications in the wound, and accompanying conditions in patients. Wounds experienced in the joints naturally require longer healing time compared to wounds that occur in other parts of the body that are not actively moving (eg facial sores can be removed within 3-5 days after suturing, but for knee injuries, it can take time up to 1 week for closed and dry wounds). Additional bacterial infections in the wound can slow the wound healing process, and can even worsen the condition of the wound (wounds wetting and difficult to dry, pus coming out of the wound, pain and swelling that gets worse, fever, etc.). As for the other accompanying conditions, for example, as in the case of your father, the DM condition. In people with DM, blood flow to the legs (especially the lower limbs) and other body parts can be obstructed, causing more time needed for the wound to heal completely.
My advice, keep treating your father's wounds regularly in accordance with the doctor's recommendations. You can use a normal saline (NaCl) compress to clean and compress the wound so that the wound dries quickly. For your next question, the length of time for stitching needed for DM people is very dependent on the condition of each person. There are DM patients who are still in the stage of mild disease and have no difficulty in healing wounds, but there are also DM sufferers whose symptoms are more severe to affect wound healing. Even if the sugar level is not controlled the wound can continue to wet up to a monthly or even annual time if the treatment is not good.
Keep your father's body condition by:
Control blood sugar levels in the normal range
Keep the wound clean, and avoid wounds from water (for example if bathing, the wound is covered with plastic or if the wound is exposed to water, gently dry the wound)
Wash your hands before and after touching the wound, for example when you want to apply antibiotics (it's good that you have taken care of the wound. Continue this, and make sure hand hygiene and injuries are maintained. You can replace the bandage and clean the wound twice once)
Do not scratch, rub or apply drugs / other ingredients to wounds that are not recommended by the doctor
If this condition is to make your father fever, chills, feeling pain in the location of the wound and its surroundings, swelling, or pus that disrupts the wound, immediately check the condition again to the doctor.
Also read: How to keep stitches safe.
That's all, hopefully it's useful and I hope your dad gets better soon.