The Effect of Intralesional Human Epidermal Growth Factor on Wound Healing in Chronic Diabetic Foot Ulcer: A Retrospective Analysis of Patient Results

نویسندگان

چکیده

Objective: Epidermal growth factor (EGF) plays an important role in wound healing. But, bioavailability of EGF is impaired chronic diabetic foot ulcer (CDFU) due to increased protease activity. The study's objective was evaluate the effect intralesional human-EGF (h-EGF) on healing patients with CDFU. Material and Methods: Twenty-eight CDFU were included study. 75 µg h-EGF thrice a week for 5 weeks used accelerate Ulcer size calculated by simple planimetric measurement. Specimens culture taken from all patients. Granulation response evaluated grade (HG) [HG-0 → no response, HG-I minimal HG-II partial HG-III complete response] closure. Pre- post-treatment ulcers recorded asses treatment outcome. Results: New granulation tissue over (HG I-III) present 26 (92.8%) at end treatment. Complete III) achieved 10 (35.7%) patients, closure seen 3 (10.7%) Pre mean 23.9±18.5 6.5±4.8 cm2 (p=0.001). most frequent adverse events tremor (32.1%). Total 47 causative bacterias (14 different types bacteria) isolated 23 (87.2%) whereas cultures sterile (17.8%) Primarily, Escherichia coli, Proteus mirabilis, Acinetobacter baumannii, Pseudomonas aeruginosa species rate 19.1%, 17%, 12.7%, 10.6% respectively. Conclusion: Intralesional effective CDFU, has serious side-effect accelerates

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Human epidermal growth factor enhances healing of diabetic foot ulcers.

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ژورنال

عنوان ژورنال: Turkiye Klinikleri Journal of Dermatology

سال: 2022

ISSN: ['1300-0330']

DOI: https://doi.org/10.5336/dermato.2022-90463