27th July 2023

An 88 year old man with a sacral pressure sore was admitted to hospital with worsening confusion.

An 88 year old man with a sacral pressure sore was admitted to hospital with worsening confusion. Wound swabs taken on admission have grown Staphylococcus Aureus, sensitive to flucloxacillin. He is started on IV flucloxacillin 1g QDS, and after 2 days, his inflammatory markers are not showing any improvement. On your review today, you note that necrotic tissue is forming around his sacral pressure sore.

What is the most appropriate next management step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.