Axilla

Axilla Case Studies

These studies were designed to determine the efficacy of InterDry® used in place of the standard treatments.

Axilla Case Study 111

Patient description: 44-year-old male presented with intertrigo in his axilla, panniculus and groin folds.

Past treatment: Antifungal-steriod cream combination.

InterDry protocol: Treatment was changed from the cream to InterDry. A silicone dressing with an adhesive spray (on intact skin) was used to secure the silver fabric in place

Day 1

Painful and moist desquamation.

Outcome: Day 7

Within 24 hours, the moist desquamation was significantly improved. Completely healed within one week.

Axilla Case Study 29

Patient description: 60-year-old female with history of right sided mastectomy.

Past treatment: Nystatin powder for 2 weeks.

InterDry protocol: Apply the silver coated fabric over the affected area and leave it in place. She was allowed to remove the fabric for the duration of her shower.

Day 1

Denuded and erythematous skin and a foul odor at the right axillary fold. Patient complained of drainage, odor and pain.

Outcome: Day 7

Skin had significantly less drainage and redness. Denuded skin almost completely healed.

Back to Case Studies

1.Sibbald RG, Kelley J, Kennedy-Evans KL, Labrecque C, Waters N. A practical approach to the prevention and management of intertrigo, or moisture-associated skin damage, due to perspiration: expert consensus on best practice. Wound Care Canada – supplement. 2013;11(2):1-21. Accessible at www.woundscanada.ca/docman/public/71-bpr-prevention-management-fall-2013/file.

2. Brown J, Wimpenny P, Maughan H. Skin problems in people with obesity. Nurs. Stand. 2004;18(35):38-42.

3. Janniger CK, Schwartz RA, Szepietowski JC, Reich A. Intertrigo and common secondary skin infections. Am Fam Physician. 2005;72(5):833-838.

4. O’Dell ML. Skin and wound infections: an overview. Am Fam Physician. 1998;57(10):2424-2432.

5. Haberer P. When ITD hits home: best practice tips for using a moisture-wicking fabric with silver for intertriginous dermatitis. 7th Annual Symposium on Advanced Wound Care, Southeast Region of the WOCN society. September, 2015.

6. Vorbeck, E. Evaluation of a skin fold management textile with antimicrobial silver complex in a variety of case studies. Mayo Health System, Minnesota.

7. Kennedy-Evans KL, Viggiano B, Henn T, Smith D. Multi-site feasibility study using a new textile with silver for management of skin conditions located in skin folds. Poster presented at: 20th Annual Symposium on Advanced Wound Care; April 28 – May 1, 2007; Tampa, FL and 39th WOCN® Society Annual Conference; June 9-13, 2007; Salt Lake City, UT.

8. Vorbeck, E. Evaluation of a skin fold management textile with antimicrobial silver complex in a variety of case studies. Mayo Health System, Minnesota.

9. Maus E, Baylor D, Benavides S, Kinder L, Fife C, Guilliod R, Hawkins T, Robles M, Smith L, Virtute G. A case series using a polyurethane coated polyester textile impregnated with an antimicrobial silver complex for the management of maceration, odor and redness is skin folds. The experience from a wound healing and lymphedema management clinic. Hermann Center for Wound Healing and Lymphedema Management, University of Texas Health Science Center, Houston, Texas.

10. Hill R. Treating complications associated with skin folds in a bariatric patient. Vancouver Coastal Health, Lions Gate Hospital, British Columbia, CA.

11. Freyberg J, Netsch D, Tessling J. Moisture management challenges for the WOC nurse. Presented at the 39th WOCN® Society Annual Conference, June 2007. Presented at the 22nd Annual Clinical Symposium on Advances in Skin and Wound Care, October 2007.

12. Product Evaluation InterDry Canada 2w016. Doc. No. VV-020577, Version 1.0.

13. Metin A, Dilek N, Bilgili SG. Recurrent candidial intertrigo: challenges and solutions. Clin Cosmet Investig Dermatol. 2018;11:175-85.

14. Tessling J, Freyberg J, Netsch D. Moisture management challenges to the WOC nurse. J Wound Ostomy Continence Nurs Supplement. 2007;34(3S):S54.

15. Honig PJ, Frieden IJ, Kim HJ, Yan AC. Streptococcal intertrigo: an underrecognized condition in children. Pediatrics. 2003;112(6 Pt 1):1427 -1429.

16. Loomis, M, US Incidence and Prevalence of Skin Fold Complications, Coloplast Corp, Internal Analysis, Data on File. January 2017