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Journal of Wound Care

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https://www.readbyqxmd.com/read/28880764/comparing-the-effectiveness-and-wash-off-resistance-of-skin-barrier-creams-a-healthy-volunteer-study
#1
P Dykes, S Bradbury
OBJECTIVE: Preventing moisture damage and breakdown of the skin can be a particular challenge for patients with incontinence. The level of protection offered by various skin protectant products can vary according to the chemical nature of the formulation and can decrease following wash procedures. The aim of this study was to compare five silicone-containing skin barrier creams indicated for use on incontinence-associated dermatitis (IAD) in terms of their resistance to a standardised wash cycle in healthy volunteer subjects...
September 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880763/letters-response-to-food-for-thought-innovation-and-debate-journal-of-wound-care-july-2017-26-7
#2
T Swanson, R Cooper, D H Keast
No abstract text is available yet for this article.
September 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880762/low-quality-evidence-from-rcts-is-not-giving-us-answers
#3
Rachel Webb
No abstract text is available yet for this article.
September 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880761/predictive-validity-of-the-braden-scale-for-assessing-risk-of-developing-pressure-ulcers-and-dependence-related-lesions
#4
A Roca-Biosca, L Rubio-Rico, M I de Molina Fernández, N García Grau, G Tuset Garijo, F P García Fernández
OBJECTIVE: In 2014, a new theoretical model explained the mechanism of the development of pressure ulcers (PUs) and that of seven types of lesions known as dependence-related lesions (DRL). The aim of this study was to calculate the incidence of DRL that have been classified as PUs and to check the predictive validity of the Braden scale for assessing DRL in accordance with the new theoretical model in an intensive care unit (ICU). Method This longitudinal, prospective study was conducted in a Spanish ICU...
September 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880760/diabetes-and-pressure-ulcer-risk-in-hip-fracture-patients-a-meta-analysis
#5
R Wei, H-L Chen, M-Li Zha, Z-Y Zhou
OBJECTIVE: The aim of this study was to assess the relationship between diabetes and pressure ulcer (PU) risk in patients with hip fractures. METHOD: Searches of MEDLINE (1966-), ISI Databases (1965-) and Scopus (1996-) were performed for English language studies. The search data was 29 July 2016. Odds ratio (OR) for PUs were calculated for hip fracture patients with or without diabetes and a meta-analysis was carried out following meta-analysis of observational studies in epidemiology (MOOSE) guidelines...
September 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880759/evidence-generation-for-wound-care-dressing-selection-reviewing-the-issues
#6
F Pagnamenta
In the UK, dressings are categorised as medical devices and manufacturers only have to provide limited evidence of effectiveness before dressings are used in clinical practice. Therefore, evidence based on clinical trial methods is scant. As a direct result, governing bodies in the UK are now recommending that decisions to select one dressing over another could mainly be made on price. Placed within the movement critiquing evidence-based practice (EBP), this paper summarises the main issues surrounding the generation of evidence in selecting dressings for wound care, which is immersed in a context that lacks resources, legislative clarity and freedom to choose methodological alternatives...
September 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880758/the-clinical-effectiveness-of-haemoglobin-spray-as-adjunctive-therapy-in-the-treatment-of-chronic-wounds
#7
S Hunt, F Elg
OBJECTIVE: To investigate wound healing after application of adjunctive topical haemoglobin spray in patients with chronic wounds. METHOD: Consecutive patients with a diversity of chronic wounds (defined as <40% reduction in wound size within 4 weeks) were treated with standard wound care plus haemoglobin spray and evaluated over a 26-week period. Results were compared with a retrospective cohort of 50 consecutive patients treated with standard wound care alone...
September 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880757/prospective-observational-study-of-single-or-multi-compartment-pressure-ulcer-prevention-cushions-prescaroh-project
#8
S Meaume, M Marty, D Colin
OBJECTIVE: In patients with reduced mobility, specialised pressure-relieving supports (mattresses, beds and cushions) are widely used to reduce or relieve the interface pressure between the skin and support surfaces to prevent incidence of pressure ulcers (PUs). The primary objective of these two observational studies was to assess the incidence of PUs in patients at high risk of PUs, seated in a wheelchair using a single- or multi-compartment air cushion. The level of patient satisfaction with the comfort and the views of the care team that used the air cushions were considered as secondary objectives...
September 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880756/how-greek-nurses-perceive-and-overcome-the-barriers-in-implementing-treatment-for-pressure-ulcers-against-the-odds
#9
E Kaba, M Kelesi, A Stavropoulou, D Moustakas, G Fasoi
OBJECTIVE: Although the occurrence of pressure ulcers (PUs) is now considered as an indicator of poor quality nursing care, questions and concerns remain regarding situations where PUs were unavoidable, irrespective of the care provided. The aim of this study was to explore Greek nurses' perceptions about the barriers involved and to identify the factors that influence care planning in PU treatment. METHOD: A grounded theory approach was used and semi-structured interviews were conducted with nurses who provided pressure care to clients in a rehabilitation centre in Greece...
September 1, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880755/potential-correlation-of-wound-bed-score-and-biomarkers-in-chronic-lower-leg-wounds-an-exploratory-study
#10
V Dini, F Papadia, F Di Francesco, P Salvo, A Paolicchi, A Janowska, A Chiricozzi, T Oranges
OBJECTIVE: The wound bed score is a validated tool to monitor wound healing in chronic wounds, and depends on visual examination by trained personnel. This study describes the feasibility of adding some biochemical and immunohistochemical parameters to increase the objectivity and specificity of the wound bed score Method: Patients with chronic wounds on the lower leg with different durations were enrolled to assess the correlation between the wound bed score and specific wound-related biomarkers, namely MMP-9, MMP-2, NGAL, albumin, integrin α2/β1, and other histochemical (CD68, PK1, CD32, fractalkine, periostin) and immunocytochemical markers from biopsies and smears taken from wound edges and bed...
September 1, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880754/the-prevalence-and-incidence-of-diabetic-foot-ulcers-among-five-countries-in-the-arab-world-a-systematic-review
#11
M Mairghani, K Elmusharaf, D Patton, J Burns, O Eltahir, G Jassim, Z Moore
OBJECTIVE: There is a rising incidence of diabetes worldwide; however there seems to be a higher incidence and prevalence rates in the Arab world when compared with the global average. (1) Out of the top 10 countries with the highest prevalence rates, six are Arab countries and almost 20.5 million people in that part of the world live with diabetes. Despite this, published scientific research from the 22 Arab countries is limited and seems to be of lower quality when compared with the rest of the developed world...
September 1, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880753/patient-centred-care-and-advocacy-a-call-to-action
#12
(no author information available yet)
No abstract text is available yet for this article.
September 1, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880752/evaluation-of-osteopontin-expression-in-chronic-wounds-a-potential-prognostic-and-therapeutic-biomarker
#13
S Chimento, V Billero, L Cavallin, M Romanelli, M Nadji, P Romanelli
OBJECTIVE: Osteopontin (OPN) is abundantly expressed during tissue repair, acting as a powerful chemokine that recruits inflammatory cells such as neutrophils, macrophages, and Langerhans cells. The role of OPN in chronic wounds has not been explored. In this study, we assess the expression levels of OPN in chronic wounds to assess its potential contribution to the exacerbated inflammation seen in chronic ulcers, which is thought to contribute to poor healing. METHODS: This retrospective study included archived biopsies of chronic wounds from several aetiologies...
September 1, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28880751/biomarkers-an-unmet-need-in-wound-care
#14
Marco Romanelli
No abstract text is available yet for this article.
September 1, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28795892/cold-atmospheric-pressure-plasma-for-treatment-of-chronic-wounds-drug-or-medical-device
#15
A Kramer, B R Conway, K Meissner, F Scholz, B H Rauch, A Moroder, A Ehlers, A J Meixner, C-D Heidecke, L I Partecke, M Kietzmann, O Assadian
OBJECTIVE: The use of cold atmospheric pressure plasma (CAPP) as a new therapeutic option to aid the healing of chronic wounds appears promising. Currently, uncertainty exists regarding their classification as medical device or medical drug. Because the classification of CAPP has medical, legal, and economic consequences as well as implications for the level of preclinical and clinical testing, the correct classification is not an academic exercise, but an ethical need. METHOD: A multidisciplinary team of physicians, surgeons, pharmacists, physicists and lawyers has analysed the physical and technical characteristics as well as legal conditions of the biological action of CAPP...
August 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28795891/experience-using-closed-incision-negative-pressure-wound-therapy-in-sternotomy-patients
#16
B Philip, P McCluskey, J Hinchion
OBJECTIVE: Postoperative delayed wound healing, surgical site infections (SSIs), and other wound complications are associated with increased morbidity and health-care costs. In cardiothoracic surgery, wound complications can have life-threatening consequences. In recent years, negative pressure wound therapy (NPWT) has been applied over closed surgical incisions to help reduce tension and protect from external contamination. We report our initial experiences using a closed incision negative pressure therapy (ciNPT) over clean, closed sternotomy incisions at an Irish tertiary referral centre...
August 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28795890/point-of-care-fluorescence-imaging-predicts-the-presence-of-pathogenic-bacteria-in-wounds-a-clinical-study
#17
M Y Rennie, L Lindvere-Teene, K Tapang, R Linden
OBJECTIVE: Bacteria in chronic wounds are invisible to the naked eye and can lead to delayed wound healing. Point-of-care bacterial fluorescence imaging illuminates a wound with 405nm light, triggering bacteria to produce red fluorescence and enabling real-time bacterial localisation. Prospective, single-blind clinical trials (clinicaltrials.gov #NCT02682069, #NCT03091361) were conducted to determine the positive predictive value (PPV) of this red fluorescence for detecting bacteria in chronic wounds...
August 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28795889/use-of-an-engineered-honey-to-eradicate-preformed-biofilms-of-important-wound-pathogens-an-in-vitro-study
#18
F D Halstead, M A Webber, B A Oppenheim
OBJECTIVE: We previously reported on the ability of SurgihoneyRO (SHRO), an engineered honey, to prevent biofilm formation in vitro, but data were lacking regarding the activity against preformed biofilms. This study aims to assess whether SHRO has any antibacterial activity against mature, preformed biofilms and whether there is any evidence to support the observed clinical effectiveness when SHRO has been used anecdotally on acute and chronic wounds where biofilm is most likely present...
August 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28795888/effective-wound-bed-preparation-using-maggot-debridement-therapy-for-patients-with-critical-limb-ischaemia
#19
A Nishijima, M Gosho, R Yoshida, S Yanagibayashi, M Takikawa, J Nishijima, M Sekido, N Yamamoto
OBJECTIVE: Patients with critical limb ischaemia (CLI) lack sufficient blood flow in to the limb, which leads to difficulties in the normal wound healing process. Therefore, maggot debridement therapy (MDT) has not generally been recommended for CLI patients. We evaluated the effectiveness of wound bed preparation by MDT in CLI patients who had undergone mid-foot amputation. METHODS: Patients who underwent mid-foot amputation after angioplasty between April 2014 and October 2016 were retrospectively investigated by classifying them into an MDT group or a conventional treatment group...
August 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28795887/cold-atmospheric-pressure-plasmas-exhibit-antimicrobial-properties-against-critical-bacteria-and-yeast-species
#20
C Wiegand, S Fink, U-C Hipler, O Beier, K Horn, A Pfuch, A Schimanski, B Grünler
OBJECTIVE: Cold atmospheric pressure plasmas (CAPPs) have been used to sterilise implant materials and other thermally unstable medical products and to modify chemical surfaces. This study investigates the antimicrobial effect of the gas and input power used to generate CAPPs on microorganisms causing skin infections, such as Staphylococcus aureus, Pseudomonas aeruginosa, Candida albicans and Malassezia pachydermatis. METHOD: Microorganisms were cultivated on Mueller Hinton 2 (MH2) agar plates...
August 2, 2017: Journal of Wound Care
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