Volume 91, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Buruli ulcer (BU) is a disease affecting the skin, subcutaneous fat, and bone tissues. Wound care is important in the prevention of disabilities. Awareness of current wound care practices in BU-endemic regions is necessary for future wound care interventions. Thirty-one health care workers in Ghana and Benin were interviewed with a semi-structured interview, complemented by structural observations. Quantitative data were analyzed through tests and one-way analysis of variance, and qualitative data through descriptive statistics. There appeared to be a general understanding of wound assessment. A large variety of different topical antiseptics was reported to be used, pressure irrigation was never reported. Gauze was the main dressing type and a moist environment was preferred, but could not be maintained. Bleeding and pain were observed frequently. Standard of wound care differed importantly between health care personnel and between institutions and adherence to World Health Organization guidelines was low.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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  1. Portaels F, Silva MT, Meyers WM, , 2009. Buruli ulcer. Clin Dermatol 27: 291305.[Crossref] [Google Scholar]
  2. Nienhuis WA, Stienstra Y, Thompson WA, Awuah PC, Abass KM, Tuah W, Awua-Boateng NY, Ampadu EO, Siegmund V, Schouten JP, Adjei O, Bretzel G, van der Werf TS, , 2010. Antimicrobial treatment for early, limited Mycobacterium ulcerans infection: a randomized controlled trial. Lancet 375: 664672.[Crossref] [Google Scholar]
  3. Barogui Y, Johnson RC, van der Werf TS, Sopoh G, Dossou A, Dijkstra PU, Stienstra Y, , 2009. Functional limitations after surgical or antibiotic treatment for buruli ulcer in Benin. Am J Trop Med Hyg 81: 8287. [Google Scholar]
  4. Stienstra Y, Dijkstra PU, Van Wezel MJ, Van Roest MH, Beets M, Zijlstra I, Johnson RC, Ampadu EO, Gbovi J, Zinsou C, Etuaful S, Klutse EY, Van der Graaf WT, Van der Werf TS, , 2005. Reliability and validity of the buruli ulcer functional limitation score questionnaire. Am J Trop Med Hyg 72: 449452. [Google Scholar]
  5. Brölmann FE, Eskes AM, Goslings JC, Niessen FB, de Bree R, Vahl AC, Pierik EG, Vermeulen H, Ubbink DT, REMBRANDT study group; , 2013. Randomized clinical trial of donor-site wound dressings after split-skin grafting. Br J Surg 100: 619627.[Crossref] [Google Scholar]
  6. Lee JC, Kandula S, Sherber NS, , 2009. Beyond wet-to-dry: a rational approach to treating chronic wounds. Eplasty 9: e14. [Google Scholar]
  7. Hutchinson JJ, McGuckin M, , 1990. Occlusive dressings: a microbiologic and clinical review. Am J Infect Control 18: 257268.[Crossref] [Google Scholar]
  8. Beldon P, , 2004. Comparison of four different dressings on donor site wounds. Br J Nurs 13: S38S45.[Crossref] [Google Scholar]
  9. Chang KW, Alsagoff S, Ong KT, Sim PH, , 1998. Pressure ulcers–randomized controlled trial comparing hydrocolloid and saline gauze dressings. Med J Malaysia 53: 428431. [Google Scholar]
  10. Martini L, Reali UM, Borgognoni L, Brandani P, Andriessen A, , 1999. Comparison of two dressings in the management of partial-thickness donor sites. J Wound Care 8: 457460.[Crossref] [Google Scholar]
  11. Singh A, Halder S, Menon GR, Chumber S, Misra MC, Sharma LK, Srivastava A, , 2004. Meta-analysis of randomized controlled trials on hydrocolloid occlusive dressing versus conventional gauze dressing in the healing of chronic wounds. Asian J Surg 27: 326332.[Crossref] [Google Scholar]
  12. Macdonald JM, Geyer MJ, , 2010. Wound and Lymphoedema Management. Geneva: World Health Organization. [Google Scholar]
  13. Lehman L, Simonet V, Saunderson P, Agbenorku P, , 2006. Buruli Ulcer: Prevention of Disability (POD). Geneva: World Health Organization. [Google Scholar]
  14. Krasner D, , 1995. Wound care: how to use the red-yellow-black system. Am J Nurs 95: 4447. [Google Scholar]
  15. Wilson JR, Mills JG, Prather ID, Dimitrijevich SD, , 2005. A toxicity index of skin and wound cleansers used on in vitro fibroblasts and keratinocytes. Adv Skin Wound Care 18: 373378.[Crossref] [Google Scholar]
  16. Welch JS, Bunting TG, , 1993. The cytotoxic effects of commonly used topical antimicrobial agents on human fibroblasts and keratinocytes. J Trauma 35: 491492.[Crossref] [Google Scholar]
  17. Thomas GW, Rael LT, Bar-Or R, Shimonkevitz R, Mains CW, Slone DS, Craun ML, Bar-Or D, , 2009. Mechanisms of delayed wound healing by commonly used antiseptics. J Trauma 66: 8290, discussion 90–91.[Crossref] [Google Scholar]
  18. Lait ME, Smith LN, , 1998. Wound management: a literature review. J Clin Nurs 7: 1117.[Crossref] [Google Scholar]
  19. Nilsson S, Hallqvist C, Sidenvall B, Enskar K, , 2011. Children's experiences of procedural pain management in conjunction with trauma wound dressings. J Adv Nurs 67: 14491457.[Crossref] [Google Scholar]
  20. George A, Hancock J, , 1993. Reducing pediatric burn pain with parent participation. J Burn Care Rehabil 14: 104107.[Crossref] [Google Scholar]
  21. Sathiaraj Y, Norman G, Richard J, , 2010. Long term sustainability and efficacy of self-care education on knowledge and practice of wound prevention and management among leprosy patients. Indian J Lepr 82: 7983. [Google Scholar]
  22. Ovington LG, , 2001. Hanging wet-to-dry dressings out to dry. Home Healthc Nurse 19: 477483, quiz 484.[Crossref] [Google Scholar]
  23. Atiyeh BS, Dibo SA, Hayek SN, , 2009. Wound cleansing, topical antiseptics and wound healing. Int Wound J 6: 420430.[Crossref] [Google Scholar]
  24. Turner V, , 1991. Standardization of wound care. Nurs Stand 5: 2528.[Crossref] [Google Scholar]
  25. Vermeulen H, Westerbos SJ, Ubbink DT, , 2010. Benefit and harm of iodine in wound care: a systematic review. J Hosp Infect 76: 191199.[Crossref] [Google Scholar]

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  • Received : 12 May 2013
  • Accepted : 05 Feb 2014
  • Published online : 06 Aug 2014

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