The patient presented to the Plastic, Reconstructive and Aesthetic Surgery outpatient clinic of our hospital on 08 August 2008 with a ten-year history of a chronic ulcer measuring 17 x 28 cm on the anterior aspect of the left crus. An admission culture was obtained. A. baumannii was detected. The patient was admitted to the Plastic, Reconstructive and Aesthetic Surgery Department, placed in a single room under “Contact Isolation,” and all dressing materials were used exclusively for the patient. For 10 days, wound care was provided by infection control nurses in accordance with asepsis/antisepsis techniques. Appearance of the Ten-Year Chronic Wound Before Care and Grafting A solution and gel containing 0.1% polyhexanide as the active ingredient were used for dressings. No additional antibiotic therapy was given to the patient. During the dressing period, the wound area was measured and healing was monitored. Following debridement, a skin graft was applied to the patient on 27.08.2008.

A chronic wound measuring 17 x 28 cm was present on the anterior aspect of the left crus. The wound was an open lesion with regional erythema, dirty granulation tissue, induration around it, and irregular margins. An admission culture was obtained on 08 August 2008, and the culture result showed growth of A. baumannii. Appearance of the Ten-Year Chronic Wound After Grafting No growth was detected in the follow-up culture obtained on 18 August 2008. No growth was detected in either of the patient’s last two cultures, obtained on 22-23 August 2008. The wound, which measured 17 x 28 cm, was found to have decreased in size to 13 x 20 cm. The skin graft applied to the patient on 27.08.2008 had 100% take.

Growth of A. baumannii, the infectious agent in the patient’s wound, was stopped. Wound healing was objectively documented using photographs taken during the healing period. Debridement and skin grafting were found to be successful. No problems were encountered during the patient’s early or late follow-up. It was concluded that, in the care and dressing of chronic wounds that are difficult to heal, adherence to asepsis/antisepsis techniques, isolating patients whose cultures show growth, using a solution-gel containing the active ingredient polyhexanide, and performing surgery using the correct surgical technique increase the success rate of wound healing.