Potassium permanganate warm bath and povidone-iodine wet dressing for diabetic septic foot an innovative method

Abstract

Background: Diabetic foot ulcers (DFUs) are one the major causes of morbidity and disability in diabetic patients. It is the consequence of multiple factors including peripheral neuropathy, and decreased blood supply. The management of (DFUs) remains a major therapeutic challenge to treating physicians, surgeons, and other healthcare professionals. topical potassium permanganate and povidone-iodine significantly accelerate the healing process, and the warm baths improve blood circulation of the foot, these case series aim to study the benefits of the combination of these three modalities. Methods: This is a case series study of 7   patients who have infected diabetic ulcers Grade 3 or more Wagner’s classification, with foul smell, and minimal granulation tissue. Treated by Potassium permanganate warm bath for 10- 15 minutes followed by povidone-iodine wet dressing. Results: 2 females and 5 males The Mean age was 62 all the cases improved, and the foul smell disappeared on the second day of the procedure. The patient and the family are happy with the results, and the ulcers were cured in 2-4 months. Conclusion: Potassium permanganate warm bath and 10% povidone dressing were effective in DFU (Wagner grade three or more) saving the foot from amputation.