Staples and seams should be checked
carefully. This INTEGRA Template site requires intervention.
Intervention
"Unroof" silicone in affected
area
Remove all signs of possible purulence.
Aspirate or evacuate by incising/rolling.
Treat with topical antimicrobials
- Irrigate INTEGRA Template sites at seams/edges and
beneath the silicone layer with a topical antimicrobial
such as Sulfamylon® Solution 5% solution/slurry,
or silver nitrate 0.5% solution. Irrigate frequently
(2-6 times daily)
Culture and initiate systemic antibiotics
based on the clinical judgement of the practitioner
If aggressive treatment of purulence
is not successful as evidenced by increasing purulence/pus,
non-take of INTEGRA Template (i.e., a "floating"
sheet) or silicone separation, then the affected area
needs to be removed. Remove only the affected area.
Treat/Irrigate with topical antimicrobials
Treat as open wound until infection
is resolved
Once infection is resolved, apply
new INTEGRA Template sheet or treat with temporary covers
(e.g., allograft) until ready to autograft
