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
