In addition, the beads are expensive. Enzymatic Debridement Enzymatic debridement is accomplished by applying topical debriding agents to devitalized tissues on the wound surface. This option should be considered when individuals cannot tolerate surgery or are in long-term care facilities or receiving care at home and when the ulcer does not appear to be infected. Autolytic Debridement Autolytic debridement involves the use of synthetic dressings to cover a wound and allow devitalized tissue to self-digest from enzymes normally present in wound fluids. Although autolytic debridement takes longer than other methods, expert clinical opinion indicates that it is an appropriate choice for patients who cannot tolerate other forms of debridement and who are not likely to become infected if their wound is not debrided by other, more rapid means.
Autolytic debridement is contraindicated if the ulcer is infected.
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