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25.1.20

Fungating Wounds

Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 25, Palliative Care.

Clinical Description

Fungating wounds are a complication of cancer and may develop in patients with advanced disease (advanced cancer). Common causes (see relevant chapter for details)

Non-pharmacological

  • smells associated with fungating wounds can be very distressing for patients and family members, use of charcoal/coffee in the room may absorb some of the smells

Pharmacological

  • crush metronidazole tablets and apply as powder to the surface of fungating wound once or twice daily.

Complications and Referral Criteria

  • Depending on the level of care, referral is necessary for appropriate management.

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