Dr. Manu Chandarashekhara Bharadwaj
Pediatric Surgery
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My 6-year-old son has a wound with an infection in the right knee. He scratched it and got wounded, and it is three weeks now, and it does not heal. It is growing bigger, and the treatment preparation included washing the wound with water and safeguarding it, drying the wound with clean cloth by tapping, putting Betadine (Povidone-iodine) via cotton buds on the center of the wound, placing the cotton with Betadine on top of the wound and seal it with five band-aids to cover the wound and make it protected whenever the child moves. In the first week, the wound still presents small dry infections. The surrounding skin looks dry and crumples due to the band-aid. It looks like the wound and the skin was not able to breathe. On week two, we did the same process, but I stopped using a band-aid. Now on the third week, it still has not healed and showing the presence of infections on the surrounding skin. I have attached a photo, and please look at the attached image and help me.
Hello,
Welcome to icliniq.com.
I went through the details of the occurence of the wound and its course. It has been appropriately described. I appreciate that. Now, you have tried wound management as best as it can be done at home. The wound in the photo looks like it has healed about 90% (attachment removed to protect the patient's identity). If the wound is persisting, it could be because of the focus of infection, which has not been removed, the child has a certain in-born problem with wound healing, the medications that are being applied are preventing the wound from healing completely, there has been repeated contamination of the wound while dressing. I would say you can now stop all dressings and Betadine (Povidone-iodine) application, keep the wound open. Application of coconut oil over the wound might be sufficient. Please let me know its progress again after a week.
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Pediatric Surgery
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