Palliative Care Research
Online ISSN : 1880-5302
ISSN-L : 1880-5302
Case Reports
Successful management of intractable malodor of a malignant fungating wound with the clindamycin-cadexomer iodine ointment
Atsushi MiuraRyo YamamotoNami Ohtsuka
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JOURNAL FREE ACCESS

2012 Volume 7 Issue 2 Pages 537-540

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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.

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© 2012 by Japanese Society for Palliative Medicine
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