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Case study

Wound assessment and reporting

Wound healing is determined by the general health of your patient, so a comprehensive assessment of your patient is crucial when planning and evaluating treatment.

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Case studies

Wound Care for Health Care Professionals

Treatment of a venous leg ulcer

See how the use of Biatain® Non-Adhesive foam dressings led to a 95% reduction in ulcer area after four weeks’ treatment of a venous leg ulcer.
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Wound Care for Health Care Professionals

Treatment of an infected diabetic foot ulcer

See how treatment of a heavily infected ulcer with Biatain® Ag Non-Adhesive foam dressing and Biatain Alginate® Ag prevented amputation of a foot.
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Wound Care for Health Care Professionals

Treatment of a Stage III sacral pressure injury

See how a one-month treatment of a heavily exuding sacral pressure ulcer with Biatain® Ag effectively eliminated signs of local infection.
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The patient

The patient – an 85-year-old woman – had been suffering from a venous leg ulcer on the lateral part of her lower left leg. The skin on her leg was fragile. The ulcer had persisted for five months at inclusion.

Previous treatment

Prior to inclusion, the ulcer had been treated with alginate dressings and compression therapy for ten weeks. Ulcer healing was delayed compared to the normally expected healing rate.

Biatain Non-Adhesive introduced

When the patient began treatment with Biatain Non-Adhesive, the ulcer area was 4.9 cm2. The ulcer contained 20% fibrinous tissue and 80% healthy granulation tissue. During the four-week treatment period, long-stretch compression bandages were applied.

This picture shows the ulcer at inclusion after cleansing:

Wound Care for Health Care Professionals

Ulcer area was reduced by 73% after two weeks of treatment with Biatain Non-Adhesive:

Wound Care for Health Care Professionals

The ulcer area was reduced by 95% after 4 weeks of treatment with Biatain Non-Adhesive:

Wound Care for Health Care Professionals


During the four weeks treatment period:

  • Biatain Non-Adhesive demonstrated remarkable reduction in ulcer size.
  • Biatain Non-Adhesive caused no leakage or maceration, even under compression therapy.
  • Biatain Non-Adhesive minimised pressure marks.
  • Biatain Non-Adhesive was comfortable and easy to use

The patient

This patient suffered from heart failure, coronary heart disease, arterial hypertension and venous insufficiency in both lower limbs, as well as Alzheimer’s.

Deep foot ulcer

For four months, she had a very deep diabetic foot ulcer on the right foot with erythema, oedema, crepitation and heat in the surrounding tissues. She was referred to the A&E department and after examination by Vascular Surgery, her family was informed that the immediate treatment would involved supracondylar amputation since she was suffering from a grade 4–5 diabetic foot based on the Wagner scale. 

Biatain Ag introduced

The family was opposed to this treatment, and the patient was returned to her home for monitoring by her family doctor and out-patient care and dressing by home nursing. Biatain Alginate Ag and Biatain Ag were used in combination with debridement and oral antibiotics.

This picture shows the ulcer at inclusion:

Wound Care for Health Care Professionals

This picture shows the ulcer after five weeks of treatment with first Biatain Alginate Ag and then Biatain Ag Non-Adhesive:

Wound Care for Health Care Professionals

Here we see the ulcer after four months’ treatment:

Wound Care for Health Care Professionals

The ulcer was closed after 10 months’ treatment:

Wound Care for Health Care Professionals


The objective set was to prevent amputation of the foot, ensure the well being and comfort of the patient and of the family. The method used began to bear fruit already seven days after the treatment started, with visible changes in the development of the wound. The wound closed ten months after the treatment was started.

Tips for prevention, assessment and treatment of diabetic foot ulcers are available in: Diabetic foot ulcers – prevention and treatment: A Coloplast quick guide.

The patient

The patient was an 88-year-old woman with a highly exuding Stage III sacral pressure injury. The ulcer had persisted for two months and had previously been treated with standard moist wound healing products.

The ulcer

The ulcer had several signs of local infection, a significant odour, and was heavily exuding. A small undermining was present at the top of the ulcer and there was approximately 50% unhealthy necrotic tissue in the wound bed.

The first picture shows the infected, highly exuding pressure injury before Biatain Ag treatment:

Wound Care for Health Care Professionals

Biatain Ag Adhesive introduced

Odour was eliminated after just one week of treatment:

Wound Care for Health Care Professionals

This picture shows that the wound bed is clean and healing is progressing after four weeks of treatment:

Wound Care for Health Care Professionals


During the one-month treatment period Biatain Ag effectively eliminated signs of local infection and supported healing of this heavily exuding sacral pressure injury. Elimination of odour and a significant increase in healthy granulation tissue was observed already after one week.

External Resources

For more information about Wound Care, you can contact the resources below.

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  • American Academy of Dermatology

The academy members include practicing dermatologists who are committed to excellence in patient care, medical and public education, research, professionalism and member services support . Learn more about this academy at

  • Association for Professionals in Infection Control and Epidemiology

APIC is a professional association dedicated to improving health and patient safety by reducing risks of infection and other adverse outcomes. Learn more about this association at

  • Association for the Advancement of Wound Care

AAWC is a non-profit association for anyone involved in wound care. Join in to learn more about wound care at


  • Diabetic Foot Study Group

The aim of the DFSG is to promote improvements in diabetic foot care. Read more about this group at

  • European Pressure Ulcer Advisory Panel

EPUAP works to lead and support all European countries in the efforts to prevent and treat pressure ulcers. You can learn more about their activities at

  • European Wound Management Association

The EWMA deals with all clinical and scientific issues related to wound healing. Each year, EWMA hosts one of the largest international events within wound management and wound healing in Europe. Learn more about this association at

  • International Working Group on the Diabetic Foot

IWGDF works to improve outcomes of diabetic foot problems and strengthen the communication between healthcare professionals. Learn more about their work at

  • International Association for the Study of Pain

IASP is the world's largest multidisciplinary organization working to support the study of pain and to translate that knowledge into improved pain relief worldwide. Read more about them at

  • National Pressure Ulcer Advisory Panel

NPUAP is an American organization working for the prevention and improved treatment of pressure ulcers. Read more at

  • Strategic Marketplace Initiative (SMI)

A consortium of executives representing healthcare providers; medical products, pharmaceuticals and supply chain distribution companies; and service businesses united to reengineer and advance the future of the healthcare supply chain for the purpose of improving the overall healthcare marketplace in the United States. Learn more by visiting

  • World Wide Wounds

World Wide Wounds is an electronic wound management journal dedicated to providing practical guidance and information on all aspects of wound management to healthcare professionals worldwide. Read the journal at

  • Wound Healing Society

The Wound Healing Society is a non-profit organization for clinical and basic scientists dedicated to improve the area of wound healing. Learn more about their activities at

  • Wound, Ostomy and Continence Nurses Society

The WOCN Society is a professional nursing society. It supports its members by promoting educational, clinical and research opportunities to advance the practice of expert healthcare to individuals with wounds, ostomies and incontinence. Read more about this society at

  • World Union of Wound Healing Societies

WUWHS is an international organization dedicated to improving the wound care standards for patients and the healthcare performance of professionals. It also works to ensure universal access in all healthcare systems. For more information go to



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