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The patient was a 71-year-old man
who lived in a care home. He had
an ulcer behind his large toe — this
consisted of a small broken area
with localised infection which had
been present for 1–2 months. The
patient’s nutritional status was poor
and he had been using systemic
antibiotics for some weeks before
starting the evaluation.
Historically, the patient had not
wanted to engage with healthcare
professionals but became interested
in the evaluation after finding out
that it featured a natural product
— the Manuka honey incorporated
into the structure of Actilite Protect.
Wound progress
During the evaluation an Actilite
Protect dressing was used, partly for
its antimicrobial action.
On presentation, the wound
was locally infected and red with
inflammation. It measured 5x5cm
and was 1mm deep. After one week
of using Actilite Protect there was
some reduction in inflammation
and the wound had begun to close.
Although it was still vulnerable,
there were no signs of infection. At
the end of week two the wound site
CASE REPORT 2
In this case a honey dressing
was used on a 71-year-old
patient’s toe ulcer, helping to
close the wound and reduce
the bioburden, as well as
staying intact on removal.
remained closed and was on course
to heal.
The clinician rated Actilite
Protect as very easy to use, both in
terms of application and removal.
It was atraumatic to the wound bed
and periwound skin and conformed
very well to the wound.
The patient did not report any
pain throughout the course of
the evaluation and the dressing
remained intact on removal, staying
in place as long as expected with no
rolling of the edges.
At the end of the evaluation, the
dressing had contributed to wound
closure and helped to reduce the
bioburden. However, infection
was still present and antibiotics
were required. The patient rated
the dressing as very comfortable
and was very satisfied with the
treatment and lack of pain.
Overall, the clinician was
pleased with the outcomes achieved
by using Actilite Protect on this
patient’s ulcer.
JCN supplement
2015,Vol 29, No 4
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