Bacterial Detection with the MolecuLight i:X™ Patient and Clinician Perspectives

 

1st Imaging Session bacterial-detection-with-the-moleculight-ix-standard-imaging-mode bacterial-detection-with-the-moleculight-ix-fluorescence-imaging-mode-1 bacterial-detection-with-the-moleculight-ix-fluorescence-imaging-mode-2
 Image taken in Fluorescence Imaging ModeTM
(presence of bacteria indicated by red color)

Clinical Synopsis: During this patient’s 1st imaging session the MolecuLight i:X detected bacteria in the wound periphery and off-site in a foot crease from a prior toe amputation. Fluorescence Imaging ModeTM guided clinician cleaning and debridement, patient education, and the relay of information on bacterial location to the patient’s home care nurse. At the next appointment, images revealed a clean wound periphery and less bacteria off-site, demonstrating adherence to the wound cleaning protocol.

2nd Imaging Session bacterial-detection-with-the-moleculight-ix-standard-imaging-mode-2nd-imaging-session-a bacterial-detection-with-the-moleculight-ix-fluorescence-imaging-mode-2nd-imaging-session-a bacterial-detection-with-the-moleculight-ix-standard-imaging-mode-2nd-imaging-session-b bacterial-detection-with-the-moleculight-ix-fluorescence-imaging-mode-2nd-imaging-session-b

Patient Testimonial:
“This device is very useful because it creates some knowledge. So you can see what’s actually going on. I’m good with that. And I have some of the images stored on my phone so that I can show them to my CCAC home care nurse who does the dressing changes so he gets to see as well. It would be useful in CCAC practice because then it would relieve the visits coming to see the surgeon or primary wound care specialists. Conveyance in wound care is critical because the wound care nurse needs to convey the dressing choice and what is going on to the CCAC person doing the dressing changes and this device helps convey that information so they see, physically, they can actually see where the problem areas are and where to focus on.”

Clinician Testimonial:
“No one had been cleaning in this crease. I have since imaged a couple of other patients with bacteria in creases and I asked them to take a picture of the fluorescent i:X image on their phone and show it to their nurse so the nurse will know where to clean; it will make a difference.”

Wound Etiology
  • Diabetic foot ulcer
Anatomical Location
  • Right heel
Patient Demographics
  • Male, 45 years old
General Patient-Related Challenges
  • Diabetes
  • Prior amputation of toes
  • Overweight/poor diet
Patient’s General Care Paradigm
  • Cleaning and debridement
  • Hyperbaric oxygen therapy
Clinician Stated Utility of the MolecuLight i:X
  • Detection of off-site bacteria
  • Patient education & adherence to non-i:X guided cleaning protocol
  • Guided clinician cleaning and debridement
Images provided by Rose Raizman RN-EC, MSc, Rouge Valley Health System, ON, Canada
MolecuLight Clinical Case 0022.