Thursday, July 19, 2012

Wound care study offers methods for success in treating chronic wounds

Wound care study offers methods for success in treating chronic wounds
19 July, 2012
Brölmann FE, et al. Evidence-based decisions for local and systemic wound care. British Journal of Surgery 2012: Advance online publication
A major review of wound care literature has drawn firm conclusions on the best methods for treating pressure ulcers, burns and surgical wounds.
Researchers from the Academic Medical Centre in Amsterdam analysed the findings of 44 Cochrane Systematic Reviews published by the authoritative Cochrane Wounds and Peripheral Vascular Disease Groups up to June 2011.
The reviews analysed treatment of acute wounds and chronic wounds such as venous, pressure, diabetic and arterial ulcers.
The findings, published online by the British Journal of Surgery, include that the cleansing of pin site wounds using saline, alcohol, hydrogen peroxide or antibacterial soap to prevent infections is no more effective than no cleansing.
Another finding was that topical honey reduces wound healing time when compared to film or gauze-based dressings for burns. The review also found that using hyperbaric oxygen therapy decreased the rate of major amputations as a result of diabetic ulcers.
Co-author of the review Dirk Ubbink said the overwhelming amount of literature on wound care, often showing conflicting results, made it difficult for healthcare professionals to make evidence based decisions on treatment.
“Ideally wound treatment decisions should be based on the best available evidence, integrated with patients’ concerns and priorities and fine-tuned by the local resources and skills,” he said.
“In reality, however, treatment decisions are generally based on the personal opinions, experiences and preferences of healthcare professionals, which can vary widely.
“Our meta-review aims to help clinicians make evidence-based decisions by analysing studies of both local and systemic open wound care.”

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