Multi-tiered treatment of pressure sores in two cynomologous macaques (Macaca fascicularis).

Successful treatment of one Grade IlI and two Grade IV pressure sores on two female Macaca fascicularis, subsequent to a T11 hemilaminectomy and left spinal cord hemisection, was achieved through a combined strategy of wound care, diet, and husbandry. Wound care consisted of early and thorough debridement of all necrotic tissue, initial twice daily cleaning with an iodine scrub and application of a multi-ingredient ointment. Tissue hydrolyzer, a drying agent, vitamin E, ground selenium, and topical antibiotics were applied to the wound during the respective 45- and 46-day courses of treatment. Oral antibiotics were administered; vitamins C and E, and selenium were increased in the diet. No infection occurred and both animals recovered fully to complete the study. Importantly, pressure sores in subsequent study animals were prevented by post-operative padding of the perch with towel-covered foam and placement of a wheelchair cushion on the floor of the cage.