In-Service

interdisciplinary

Wound care

Strategies when caring a bed bound patient with coccygeal pressure wound with MRSA

Pressure Relief Reposition the bedbound patient every 1-2 hours (or every 15 minutes if seated) using proper techniques to minimize shear and friction, and use pressure-redistributing surfaces like air-fluidized beds or advanced static mattresses. ​ Wound Care Cleanse the coccygeal wound gently with saline, apply moisture-balancing dressings (e.g., silver-based, PHMB, or foam for MRSA control), and debride necrotic tissue if needed; consider negative pressure wound therapy (NPWT) for deeper injuries. ​ Infection Control (MRSA) Implement contact precautions: use gloves/gowns, meticulous hand hygiene, keep wound covered with clean dry dressings, and administer systemic antibiotics (e.g., clindamycin, doxycycline, or linezolid for MRSA) only if signs of systemic infection like cellulitis or osteomyelitis exist—avoid prophylactic use. ​ Nutrition and Support Provide high-protein nutrition, adequate hydration, vitamins (e.g., zinc, vitamin C), and pain management; monitor Braden score and involve interdisciplinary team for ongoing assessment. ​