Comparison of Autolytic Debridement Treatment Using Hydrogel and Silver Sulfadiazine Cream Combined With Hyaluronic Acid in Pressure Ulcer Patients with COVID-19 at Dr. Soetomo Hospital

Abstract

Pressure ulcer is a lesion obtained due to pressure on the body area with bone protrusion. Prolonged pressure on the surface area of the protruding bone may result in localized soft tissue damage. This study was conducted to compare autolytic debridement treatment using hydrogel and silver sulfadiazine-hyaluronic acid cream in pressure ulcer patients with COVID-19 at Dr. Soetomo Hospital. The aim of this study is to analyze autolytic debridement treatment using hydrogel compared to silver sulfadiazine - hyaluronic acid cream in pressure ulcer patients with COVID-19 at RSUD Dr. Soetomo. This study is a retrospective study with an observational analytic design with the source of research data using secondary data by looking at research variables recorded in the medical records at Dr. Soetomo Surabaya Hospital for the period April 2020 - March 2021. Research subjects were selected using the total sampling method that met the inclusion and exclusion criteria. The data obtained will be assessed using the perdanakusuma score II before treatment and 4 weeks after treatment. The number of research samples was 28 patients with 18 patients treated using hydrogel and 5 patients treated with silver sulfadiazine - hyaluronic acid cream. There was a significant decrease in perdanakusuma score II after wound treatment using hydrogel and silver sulfadiazine - hyaluronic acid cream in pressure ulcer patients with COVID-19 at Dr. Soetomo Hospital. There is no significant difference between treatment using hydrogel compared to silver sulfadiazine - hyaluronic acid cream in pressure ulcer patients with COVID-19 at RSUD Dr. Soetomo.