A Case Report | Open Access
Volume 2025 - 4 | Article ID 258 | http://dx.doi.org/10.51521/WJCRCI.2025.e41.401
Academic Editor: John Bose
Keval
G. Parikh, DPM, FACFAS, FAPWHc, Demiche McKenzie BS,
Patricia Stevenson, DNP, APRN, ACNS-BC
Corresponding Author: Dr. Patricia Stevenson, NextScience.com
Citation: Keval G. Parikh, Demiche McKenzie, Patricia Stevenson (2025) Trauma Induced Venous Leg Ulcers: A Case Study in the Frail Elderly. World J Case Rep Clin Imag. 2025 April; 4(1)1-5.
Copyrights © 2025, Dr. Patricia Stevenson, et al., This article is licensed under the Creative Commons Attribution-Non Commercial-4.0-International-License-(CCBY-NC) (https://worldjournalofcasereports.org/blogpage/copyright-policy). Usage and distribution for commercial purposes require written permission.
Abstract:
Age-related changes in skin structure, including loss of collagen and elastin, make the skin more susceptible to tearing with minimal trauma and are commonly found on the extremities, particularly the lower limbs of compromised patients. Normally, skin injuries such as traumatic skin tears heal within weeks; however, when among patients with other comorbid conditions or the elderly, they can become chronic. Contributing cofactors generally include mobility issues, poor skin hydration, use of medications affecting skin integrity (Like Corticosteroids), and improper handling during transfers.
One major concern when treating patients who have a non-healing skin trauma injury is the development of a high bacterial load and the susceptibility to biofilm formation. Despite use of common over the counter and prescription treatments, biofilm forms within hours of injury and allows bacteria to reside in a protected and nurtured environment, resistant to the typical wound treatments. The aim of this case is to demonstrate that biofilm/bioburden focused care can enhance the patient’s ability to heal hard-to-heal wounds. Biofilm in wounds is a significant barrier to healing and as this case presents can be the confounding factor preventing wound progression toward proliferation. By using a biofilm-focused approach to wound care, the provider was able to destabilize the biofilm with full wound closure in four weeks of beginning therapy with BLASTX and collagen.
Keywords: Traumatic Skin Injury, Frail, Biofilm, Bioburden
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