Anyebe EE1*, Ajayi A2, Opaluwa SA3, Wale J2, Zulaiha BM2, and Saror H4
Wound care is benefitting from contemporary technological advancements; one of which is the use of ultraviolet therapy. This report focuses on the use of ultraviolet therapy. This case report Aimed to ascertain the efficacy of Ultraviolet Radiation (UVR) in the healing of gunshot wounds in a tertiary health facility in northwest Nigeria, to stimulate more interest in an integrated approach to wound management in our care environment. The case summaries are two patients with gunshot injuries selected from a female orthopedic ward of the hospital. They had been on antibiotics and wound dressing with little results. Following a consult sent to the Physiotherapy Unit of the hospital, after due assessment, an ultra-violet therapy was commenced using a cold quartz UV generator. Following some specific steps, the Minimal Erythemal Dose (MED) was performed on the 1st session to determine the dosage level, using an erythemometer. Baseline measurements of the wounds were taken and documented. Patient 1 and Patient 2 had 14 and 12 treatment sessions respectively over four weeks. The wound dimensions were measured every week for four weeks and these were noted. Results showed that there was a gradual but significant decrease in the size of the wounds for both Patients 1 and 2 within four weeks of commencement of the therapy. Surrounding skin remained intact. it is concluded UV radiation therapy in the treatment of gunshots wounds has great potential for traumatic wound management and this can be further explored. More studies should be conducted to establish its place in wound management in our health facility. A multidisciplinary approach among clinicians and physical therapists should improve wound care particularly those that respond poorly routine treatments. Collaborative research will therefore provide such opportunity.
