Samala and Davis reported a protocol for managing a wound that is malodorous. This can be a great help for the patient and family. It may take days or weeks to get adequate control if the lesion is advanced.


Patient selection: malodorous wound


RACE protocol:

(1) Remove necrotic tissue by debriding the wound.

(2) Antibacterials and Absorbents to control growth of bacteria.

(3) Conceal the odor.

(4) Educate and provide support with control of other symptoms such as pain.


Absorbents may include activate charcoal, baking soda, or cat litter.


Antibacterial agents may include metronidazole, silver sulfadiazine, topical broad spectrum antibiotics, honey and yogurt.


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