The economic and quality effects of wound cleansing with pure hypochlorous acid: evidence-based evaluation and clinical experience.

IF 1.4 4区 医学 Q3 DERMATOLOGY Wounds : a compendium of clinical research and practice Pub Date : 2024-10-01
Peter J Mallow, Joyce Black, Abigail E Chaffin, Kara S Couch, Elizabeth Faust, Luis G Fernández, Kathy E Gallagher, Loan Lam, Jeffrey A Niezgoda, Dot Weir
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Abstract

Background: Chronic or hard-to-heal wounds fail to proceed through an orderly and timely healing process, resulting in a lack of anatomic and functional integrity. Infection is a common driver of nonhealing processes; therefore, infection prevention and management are essential components to healing chronic wounds. Inexpensive specialized cleansers, such as pure hypochlorous acid (pHA), can be used to cleanse vulnerable wounds to reduce microbial burden, thereby reducing the risk of infection and significantly decreasing the likelihood of the patient developing a costly wound complication.

Objective: To report the findings of an expert panel composed of 10 health care professionals (HCPs) from diverse medical specialties convened to discuss the use of pHA in various care settings.

Methods: During the panel discussion, experienced HCPs presented specific case examples in which pHA was used, along with associated costs.

Results: A major theme of the panel discussion was the widespread benefit of pHA across various types of wounds and wound care settings. In addition, the patient cases illustrated a negligible economic impact of pHA coupled with positive effects on patient outcomes. This work did not include the development of a consensus statement.

Conclusion: Together, the information presented in the panel discussion supports pHA as a dominant strategy (more effective, less costly) compared with standard wound management practices in many treatment settings.

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用纯次氯酸清洗伤口的经济和质量效果:循证评估和临床经验。
背景:慢性或难以愈合的伤口无法通过有序和及时的愈合过程,导致缺乏解剖和功能上的完整性。感染是导致伤口无法愈合的常见原因;因此,预防和管理感染是慢性伤口愈合的重要组成部分。价格低廉的专用清洁剂,如纯次氯酸(pHA),可用于清洁脆弱的伤口,以减少微生物负担,从而降低感染风险,并大大降低患者出现代价高昂的伤口并发症的可能性:报告由来自不同医学专业的 10 位医护人员(HCP)组成的专家小组讨论 pHA 在不同护理环境中的应用的结果:在专家小组讨论期间,经验丰富的医护人员介绍了使用 pHA 的具体案例以及相关成本:小组讨论的一个主题是 pHA 在各种类型的伤口和伤口护理环境中的广泛优势。此外,患者案例表明 pHA 对经济的影响微乎其微,但对患者的治疗效果却有积极影响。这项工作不包括制定一份共识声明:小组讨论中提供的信息表明,在许多治疗环境中,与标准伤口管理方法相比,pHA 是一种占主导地位的策略(更有效、成本更低)。
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来源期刊
CiteScore
1.50
自引率
11.80%
发文量
77
审稿时长
6-12 weeks
期刊介绍: Wounds is the most widely read, peer-reviewed journal focusing on wound care and wound research. The information disseminated to our readers includes valuable research and commentaries on tissue repair and regeneration, biology and biochemistry of wound healing, and clinical management of various wound etiologies. Our multidisciplinary readership consists of dermatologists, general surgeons, plastic surgeons, vascular surgeons, internal medicine/family practitioners, podiatrists, gerontologists, researchers in industry or academia (PhDs), orthopedic surgeons, infectious disease physicians, nurse practitioners, and physician assistants. These practitioners must be well equipped to deal with a myriad of chronic wound conditions affecting their patients including vascular disease, diabetes, obesity, dermatological disorders, and more. Whether dealing with a traumatic wound, a surgical or non-skin wound, a burn injury, or a diabetic foot ulcer, wound care professionals turn to Wounds for the latest in research and practice in this ever-growing field of medicine.
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