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Journal of Wound Care

Kate J Kennedy, Kay Price, Tabatha L Rando, Jo Boylan, Anthony R Dyer
OBJECTIVE: To provide a synthesis of the best available, recent primary or secondary research evidence on early preventative activities taken to increase skin health, and reduce the incidence of facility-acquired skin tears and pressure ulcers (PUs) in community, residential and health-care institutions. METHOD: An integrative review focusing on a 10-year period, 2007-2017. A literature search of health databases was carried out, as well as a search of grey literature in relevant skin, wound care and nursing association journals...
November 2, 2018: Journal of Wound Care
(no author information available yet)
At the 4th International Skin Integrity and Infection Prevention conference, hosted by the Journal of Wound Care and the University of Huddersfield, in Las Vegas, one of the main themes was the control and resolution of biofilm. A series of reports will describe the key points of four sponsored symposia at the event. The first of these concentrates on the role of biofilm in chronic wounds and new therapies to aid the healing of these wounds by disrupting biofilm.
November 2, 2018: Journal of Wound Care
Marco Romanelli, Alberto Piaggesi, Giovanni Scapagnini, Valentina Dini, Agata Janowska, Elisabetta Iacopi, Carlotta Scarpa, Stéphane Fauverghe, Franco Bassetto
OBJECTIVE: Fluorescence biomodulation (FB), a form of photobiomodulation (PBM) that is also known as low energy level light (LELL), has become an increasingly used clinical tool to induce wound healing in wounds that remain recalcitrant to treatment. In a real-life clinical setting, the aim of the EUREKA (EvalUation of Real-lifE use of Klox biophotonic system in chronic wound mAnagement) study was to confirm the efficacy and safety of LumiHeal, a system based on FB, in the treatment of chronic wounds such as venous leg ulcers (VLUs), diabetic foot ulcers (DFUs) and pressure ulcers (PUs)...
November 2, 2018: Journal of Wound Care
(no author information available yet)
The 4th International Skin Integrity and Infection Prevention conference, hosted by the Journal of Wound Care and the University of Huddersfield, was held earlier this year in Las Vegas. A key theme was the impact of biofilm on wound healing. In the second of our sponsored symposia reports, the manner in which delayed healing can be reversed through effective biofilm management, and the introduction of regulatory proteins found in dehydrated human amnion chorion membrane allograft were explained.
November 2, 2018: Journal of Wound Care
Rachel Webb
No abstract text is available yet for this article.
November 2, 2018: Journal of Wound Care
Val Edwards-Jones
OBJECTIVE: Chitosan is a natural biopolymer and is the main structural component of the cuticles of crustaceans, insects and molluscs and the cell walls of certain fungi. It is abundant in nature and is naturally antimicrobial. A natural fibre has been created with chitosan and is being used as a wound dressing, namely Kytocel. It is an absorbent fibre dressing that is claimed to be biodegradable and biocompatible. This study was undertaken to assess the antimicrobial properties of the microfibre wound dressing using a variety of methods commonly used to assess other antimicrobial dressings...
November 2, 2018: Journal of Wound Care
Carina C E G Pernot, Ineke Zwiers, Arina J Ten Cate-Hoek, Cees H A Wittens
OBJECTIVE: To explore the need for an extended diagnostic workup in patients with venous leg ulcers (VLUs) and to establish the prevalence of the underlying causes of VLU. METHOD: This retrospective cohort study analysed data from patients with VLU. The visual analogue scale (VAS) was used for pain assessment. The ankle-brachial index (ABI) was measured to exclude patients with arterial pathology. A duplex was performed. All patients received a wound treatment plan and ambulatory compression therapy...
November 2, 2018: Journal of Wound Care
Şirin Yaşar, Bulent Yaşar, Filiz Cebeci, Duygu Bayoğlu, Çağatay Nuhoğlu
Bart syndrome consists of aplasia cutis congenita (ACC) and dominant or recessive dystrophic epidermolysis bullosa (DEB), associated with skin fragility and nail dysplasia. ACC in DEB is thought to be caused by trauma, the most cited cause being in utero formation of bullae consequent to friction of the limbs. Epidermolysis bullosa (EB) refers to a hereditary mechanobullous disease following trauma, characterised by formation of blisters on the skin and mucous membranes. There are four categories of the disease, including epidermolysis bullosa simplex, junctional epidermolysis bullosa, dystrophic epidermolysis bullosa and Kindler syndrome...
November 2, 2018: Journal of Wound Care
Hannah Trøstrup, Per Holstein, Tonny Karlsmark, Claus Moser, Magnus S Ågren
OBJECTIVE: To compare matrix metalloproteinase (MMP)-9 and the antiproteinase tissue inhibitor of metalloproteinases (TIMP)-1 in wound fluids and sera from patients with chronic non-healing or acute healing wounds. In addition, the functional consequences on MMP-9 activity and general gelatinase activity were assessed. METHOD: In this observational study, samples were collected from patients with venous leg ulcers (VLUs), patients with type 2 diabetes with neuropathic foot ulcers (DFUs), and from another cohort of VLU patients with sterile split-thickness skin graft donor sites after autologous skin grafting, serving as healing control wounds...
November 2, 2018: Journal of Wound Care
Anubhav K Gupta, Chirayu Parwal, Mahesh Mangal, Swaroop Singh Gambhir, Bheem Singh Nanda, Kiranmoy Sarangi
Most fungal infections found in wounds are secondary or superadded, and are generally benign in their clinical course in healthy individuals, with the exception of mucormycosis. This is a life-threatening infection caused by fungi of the order Mucorales. Primary cutaneous disease may occur following traumatic implantation of spores, or use of contaminated bandages, or as a complication of extensive burns, diabetic acidosis and other specific immunocompromised conditions. The clinical spectrum is highly non-specific and is often triggered by seemingly innocuous trauma...
November 2, 2018: Journal of Wound Care
Qing-Ling Li, Ruo-Mi Guo, Kun Zhao, Diao-Zhu Lin, Xiao-Ming Ye, Li-Hong Chen
OBJECTIVE: This study investigated the effects of high haem oxygenase-1 (HO-1) expression on oxidative injury and the biological behaviours of rat dermal fibroblasts, under high glucose conditions. METHOD: Rat dermal fibroblasts were cultured in normal glucose (1.0g/l), high glucose (4.5g/l) or haemin (5μm). A bilirubin kit, real-time polymerase chain reaction (RT-PCR) and Western blotting measured the protease activity, mRNA, and protein levels of HO-1, respectively...
November 2, 2018: Journal of Wound Care
José Luis Lázaro-Martínez, Elena Conde-Montero, Juan Carlos Alvarez-Vazquez, Juan José Berenguer-Rodríguez, Amparo Galindo Carlo, Silvia Blasco-Gil, Carmen Blasco-García, Fernando Martínez-Cuervo
OBJECTIVE: Wound assessment is an essential part of wound management and has traditionally focused on the wound bed. The Triangle of Wound Assessment (Triangle) is a new assessment tool that includes a holistic evaluation of the patient with a wound. The aim of this pilot study was to describe the use of the Triangle in our clinical practice in Spain. METHODS: Prospective, consecutive patients, male and female, over 18 years old, with wounds of any aetiology and duration, who attended the centres involved in the study, were recruited between May and June 2017...
November 2, 2018: Journal of Wound Care
Malte Ohlmeier, Annika Bode, Eduardo M Suero, Dennis Grasmücke, Mirko Aach, Renate Meindl, Thomas A Schildhauer, Mustafa Citak
OBJECTIVE: To analyse the clinical outcome of subtrochanteric femur resection in patients with infected hip joints caused by pressure ulcers (PUs) in patients following spinal cord injury (SCI). METHOD: A retrospective cohort study, carried out between January 2004 and December 2015. Only patients receiving a subtrochanteric femur resection were included. SCI patients were treated for a hip joint infection caused by a PU. Primary outcome measures were to work out the revision rates and the rate of heterotopic ossification occurrence...
November 2, 2018: Journal of Wound Care
K Van Acker, M Garoufalis, Pauline Wilson
The Point Project is an initiative between the two organisations: D-Foot International and the International Federation of Podiatrists (FIP-IFP). Both organisations promote the role of evidence-based foot care for patients with and at risk of diabetes. This collaborative work highlights the podiatric skills needed in order to deliver comprehensive evidence-based care to patients with diabetic foot disease. The statements along with the relevant skills and behaviours are based upon the guidance documents produced by the International Working Group on the Diabetic Foot (IWGDF), thus meaning while this is a consensus document it is also evidence-based...
November 1, 2018: Journal of Wound Care
Frank Pallaske, Anett Pallaske, Kurt Herklotz, Joachim Boese-Landgraf
Clinical experience and research has improved our understanding of wound healing which, in turn, has enabled health professionals to aid wound healing and manufacturers to develop modern wound dressings. The significant role of collagen in wound healing has led to the development of numerous products on the basis of this biological material. The main focus of this review is to provide a critical appraisal of publications about collagen and acellular collagen dressings with a fleece-like or spongy structure...
October 2, 2018: Journal of Wound Care
Shabnam Sabetkish, Nastaran Sabetkish, Abdol-Mohammad Kajbafzadeh
OBJECTIVE: To introduce a practical technique for the early detection and prompt management of a probable bladder dehiscence (BD) and glanular dehiscence (GD) in patients with bladder exstrophy epispadias complex (BEEC) and hypospadias. METHOD: In this prospective study, paediatric patients with BEEC (group 1) and with proximal hypospadias (group 2) underwent body temperature measurement using a non-contact infrared radiant digital temperature measurement device in four body regions, including the surgical wound, forehead, right hand, and right foot at eight hour intervals, postoperatively...
October 2, 2018: Journal of Wound Care
Kevin Woo, Rosemary Hill, Kimberly LeBlanc, Steven L Percival, Gregory Schultz, Dot Weir, Terry Swanson, Dieter O Mayer
The characteristic clinical signs of chronic wounds, which remain in a state of prolonged inflammation, include increased production of devitalised tissue and exudate, pain and malodour. The presence of necrotic tissue, slough and copious exudate encourages microbial proliferation, potentially resulting in planktonic and/or biofilm infection. For patients, the consequences can include leakage of exudate, pain and reduced mobility, which can impair their ability to socialise and perform activities of daily living...
October 2, 2018: Journal of Wound Care
Majana Tomic-Canic, Lulu L Wong, Hans Smola
This review highlights epithelialisation and therapeutic options to optimise and speed the epithelialisation process. To influence this process therapeutically, it is important for clinicians to understand the underlying principles of epithelialisation. The role of growth factors and the hostile local wound environment can explain why epithelial wound closure is so difficult to speed up in some chronic wounds. Clinicians should be aware of the different surgical techniques of skin grafting and more advanced technologies, such as skin substitutes, as options for wounds which fail to respond to standard protocols...
October 2, 2018: Journal of Wound Care
Mark G Rippon, Alan A Rogers, Laura Sellars, Liam E J Purcell, Samantha Westgate
OBJECTIVE: The aim of this in vitro study was to investigate the transfer of viable Pseudomonas aeruginosa biofilm microorganisms following treatment with debridement tools. METHOD: The level of viable biofilm microorganisms transferred by debridement tools was compared following treatment that reflected the clinical practice of each product. RESULTS: A significant level of microorganism transfer was seen in response to the mechanical debridement tool...
October 2, 2018: Journal of Wound Care
Christos Koutserimpas, George Samonis
Homer's epics, the Iliad and the Odyssey, written between 800-700 BC, offer valuable information about what medical practice meant at that time. Descriptions of injuries and care given can be found among the 26,000 verses of these poems. During the Trojan War many warriors possessed empirical knowledge of wound care. However, Machaon and his brother Podalirius were the chief medical officers of the Greek army as it besieged Troy. Machaon was acting mainly as a trauma surgeon, while Podalirius was a physician...
October 2, 2018: Journal of Wound Care
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