Use of Topical Small Molecule Technology to Improve Patient Outcomes in the Diabetic Wound Care Setting

Donald E. Mrdjenovich DPM, CWS, FACCWS
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Abstract

Patients were chosen at random by primary investigator based upon initial presentation with dry, cracked, and/or reddened skin, with underlying complications from compromised microvasculature. Intervention was conducted by using topical products designed to utilize small molecule technologies, with a molecular weight of fewer than 500 Da, to deliver, via topical diffusion, nutrients and antioxidants through the skin layers to address issues stemming from inadequate blood flow to the dermis. An “all-in-one” moisturizing cleansing lotion was applied to the affected areas and washed gently with a warm damp cloth. After cleansing, the skin was treated with a moisturizing skin cream or a chlorhexidine-containing skin shield on areas with redness or advanced breakdown. All products contain dimethicone as an active ingredient and are classified as OTC skin protectants per approved FDA monographs. Patients were evaluated by the primary investigator for noticeable resolution or improvements in dryness, scaling, skin cracks, and erythema.

Abstract Image

应用局部小分子技术改善糖尿病伤口护理患者的预后
患者由主要研究者根据最初表现为皮肤干燥、皲裂和/或发红以及微血管受损的潜在并发症随机选择。通过使用小分子技术设计的局部产品进行干预,其分子量小于500 Da,通过局部扩散将营养物质和抗氧化剂传递到皮肤层,以解决真皮血流量不足引起的问题。一种“全能”的保湿洁面乳液被涂抹在患处,并用温暖的湿布轻轻清洗。洁面后,用保湿护肤霜或含氯己定的皮肤保护膜对发红或严重破损的部位进行处理。所有产品都含有二甲基硅氧烷作为活性成分,并根据FDA批准的专著归类为OTC皮肤保护剂。由主要研究者评估患者在干燥、结垢、皮肤开裂和红斑方面的明显缓解或改善。
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