Successful management of intractable malodor of a malignant fungating wound with the clindamycin-cadexomer iodine ointment
10.2512/jspm.7.537
- VernacularTitle:制御困難のがん性悪臭にクリンダマイシン・カデキソマーヨウ素混合軟膏が奏効した1例
- Author:
Atsushi Miura
;
Ryo Yamamoto
;
Nami Ohtsuka
- Publication Type:Journal Article
- Keywords:
malodor of a malignant fungating wound;
metronidazol ointment;
clindamycin ointment;
cadexomer iodine ointment;
exudate
- From:Palliative Care Research
2012;7(2):537-540
- CountryJapan
- Language:Japanese
-
Abstract:
Purpose: Since malodor of a malignant fungating wound decreases quality of life of patients, its management is important. Metronidazol ointment, clindamycin ointment, and cadexomer iodine ointment have been used for treatment of malodor of a malignant fungating wound because they have antibacterial activity for anaerobic bacteria. Nevertheless, management of malodor of a malignant fungating wound has been unsatisfactory and it needs improvement. Methods: A mixture ointment of clindamycin and cadexomer iodine was employed in a case with malodor of a malignant fungating wound that had not been successfully controlled by cadexomer iodine ointment. Results: Malodor and exudate of a malignant fungating wound reduced. In addition, no adverse event such as skin troubles was observed and it was used safely. Conclusions: It was suggested that the clindamycin-cadexomer iodine ointment was more effective for treatment of refractory malodor of a malignant fungating wound than cadexomer iodine ointment.