Wound Care Management in Infants with Congenital Abnormalities at the Wound and Stoma Clinic RSUD dr Soedarso Pontianak : Case Study


  • Ichsan Budiharto RSUD dr. Soedarso, Pontianak, Kalimantan Barat
  • Nurmila Sari RSUD dr. Soedarso, Pontianak, Kalimantan Barat




congenital wounds


Introduction: Management of wound with congenital abnormalities in infants requires persistence and appropriate treatment techniques. Wounds that occur in infants with congenital abnormalities in this case occur in the head area with exposed bone. If a sharp debradement is performed, it requires anesthesia which is risky for the baby's condition. What can be used is autolytic debridement with cutimed gel and the use of cuticel. One of the dressings that can be applied is zalf sulfadiazine silver where the formula is like a cream that is gentle on the baby's skin surface, besides its availability is easy to obtain.

Case presentation: The Washing of wound using antiseptic soap and  NaCL 0,9%, by applying pressure when irigation NaCL on the wound, this is intended to reduce the bacteria around the wound. The debridement technique used was autolitic debridement using cutimed gel. The primary dressings used were classic cutissel and zalf sulfadiazine silver to help accelerate granulation, maintain wound moisture and silver content to treat infection. The secondary dressing used is sterile gauze. In this case, the exsudate is  minimal to be moderate so that the use of sterile gauze is effective enough to prevent maseration and keep the wound moist. From one month of treatment, from November 24, 2021 until December 24, 2021, it was shown that the use of zalf zulfadiazine silver showed a significant effect on wound healing.

Conclusion: There was good wound healing by giving zalf sulvadiazine silver.