Lower Extremities

Lower Extremities Case Studies

These studies were designed to determine the efficacy of InterDry® used in place of the standard treatments.

Lower Extremities Case Study 17

Patient description: 46-year-old female receiving rehabilitation (physical therapy and weight loss) for morbid obesity (BMI 93.8).

Past treatments: Daily cleansing with Bedside-Care® Foam followed by an application of antimicrobial cream mixed equal parts with an antifungal cortisone cream daily and an antifungal powder as needed.

InterDry protocol: Cleanse the skin with Bedside-Care Foam. Place InterDry in the skin fold. Reposition as needed. Replace if soiled. Discard on day five (5).

Day 1

Candidal intertrigo located in the right posterior thigh, which has been present for the past 98 days. Symptoms included severe erythema, denudement, maceration, satellite lesions, slight odor and complaints of itching/burning.

Outcome: Day 5

Complete resolution of denudement, maceration, satellite lesions, and odor. Slight erythema remains. No further complaints of itching/burning.

Lower Extremities Case Study 27

Patient description: 34-year-old female receiving rehabilitation (weight loss and physical therapy) with morbid obesity (BMI 61.1).

Past treatments: Daily body wash followed by an antifungal ointment as needed. She wore lower leg lymphedema wraps.

InterDry protocol: Cleanse the skin with Bedside-Care Foam. Place InterDry in the skin fold. Reposition as needed. Replace if soiled. Discard on day five (5).

Day 1

Candidal intertrigo in the right popliteal area, which has been present for the past thirty-three (33) weeks. Symptoms included severe erythema, denudement, maceration, satellite lesions, moderate odor and complaints of itching/burning.

Outcome: Day 5

Complete resolution of maceration, satellite lesions, and odor. Slight erythema remains. Denuded areas improving. Skin remains fragile and tears easily. No further complaints of itching/burning.

Back to Case Studies

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5. Haberer P. When ITD hits home: best practice tips for using a moisture-wicking fabric with silver for intertriginous dermatitis. 7th Annual Symposium on Advanced Wound Care, Southeast Region of the WOCN society. September, 2015.

6. Vorbeck, E. Evaluation of a skin fold management textile with antimicrobial silver complex in a variety of case studies. Mayo Health System, Minnesota.

7. Kennedy-Evans KL, Viggiano B, Henn T, Smith D. Multi-site feasibility study using a new textile with silver for management of skin conditions located in skin folds. Poster presented at: 20th Annual Symposium on Advanced Wound Care; April 28 – May 1, 2007; Tampa, FL and 39th WOCN® Society Annual Conference; June 9-13, 2007; Salt Lake City, UT.

8. Vorbeck, E. Evaluation of a skin fold management textile with antimicrobial silver complex in a variety of case studies. Mayo Health System, Minnesota.

9. Maus E, Baylor D, Benavides S, Kinder L, Fife C, Guilliod R, Hawkins T, Robles M, Smith L, Virtute G. A case series using a polyurethane coated polyester textile impregnated with an antimicrobial silver complex for the management of maceration, odor and redness is skin folds. The experience from a wound healing and lymphedema management clinic. Hermann Center for Wound Healing and Lymphedema Management, University of Texas Health Science Center, Houston, Texas.

10. Hill R. Treating complications associated with skin folds in a bariatric patient. Vancouver Coastal Health, Lions Gate Hospital, British Columbia, CA.

11. Freyberg J, Netsch D, Tessling J. Moisture management challenges for the WOC nurse. Presented at the 39th WOCN® Society Annual Conference, June 2007. Presented at the 22nd Annual Clinical Symposium on Advances in Skin and Wound Care, October 2007.

12. Product Evaluation InterDry Canada 2w016. Doc. No. VV-020577, Version 1.0.

13. Metin A, Dilek N, Bilgili SG. Recurrent candidial intertrigo: challenges and solutions. Clin Cosmet Investig Dermatol. 2018;11:175-85.

14. Tessling J, Freyberg J, Netsch D. Moisture management challenges to the WOC nurse. J Wound Ostomy Continence Nurs Supplement. 2007;34(3S):S54.

15. Honig PJ, Frieden IJ, Kim HJ, Yan AC. Streptococcal intertrigo: an underrecognized condition in children. Pediatrics. 2003;112(6 Pt 1):1427 -1429.

16. Loomis, M, US Incidence and Prevalence of Skin Fold Complications, Coloplast Corp, Internal Analysis, Data on File. January 2017