Pain reduction is very important

Shock therapy

Prevention bacterial Control, dietary innovation, quantity of liquid, protein and calories


1st degree : fatty compress (vaseline/optule¨)

2nd degree at the surface : fatty compress, hydrocollo•d dressing, biologic compress, transparent wound follies

2nd degree deep : anti bacterial ointment, (flammazine¨ Duphar), biological dressing (donor skin)

3rd degree : anti-bacterial ointment (flammazine¨ Duphar) Fatty compress such as with Vaseline and Optule¨ Anti bacterial ointment is flammazine¨ once a day Bath in water with Biotex¨ and afterwards dab with water with 1% of chloorhexidine/hibitane

Closed treatment

Positive : Local antibacterial, necroses fades away

Negative: painful changing of bandage

Open treatment (only when the patient is isolated - hardly ever used in the Netherlands):

Positive: Fast closing of the skin, prevents infection, reduces pain, prevents mechanical damage of the vital skin and epithelia rests/granulate tissue, restricts scarring Scab forming and restricted loosing of liquid

Negative: Diagnosis difficult to make Scab can brake and cause an opening for bacteria/infection People are (psychologically) confronted with the wound Important: isolation of the patient; sterile air conditioning of the patient's room Ointments such as: flamacine, sucidine etc. Depends on the kind of bacteria!

Half Open Treatment (only when the patient is isolated)
Anti bacterial ointment and no compresses