Bench research provides Level 51, 2 evidence that moisture, temperature and humidity influence the coefficient of friction between the skin and fabrics, and that performance differs between fabrics. Evidence from one randomized controlled trial (RCT),3 provided Level 1 evidence supporting use of a low friction fabric in conjunction with an incontinence product for older individuals to reduce the incidence of PIs. Level 24-6 and Level 37, 8 evidence suggested that low friction fabrics can be used in a range of care settings (e.g. medical, surgical and intensive care) for individuals at high and lower risk of PIs to reduce the risk of developing a new PI. This evidence supported a Grade B recommendation (a weak recommendation).9
{"title":"Evidence Summary: Low friction fabric for preventing pressure injuries","authors":"E. Haesler","doi":"10.33235/wpr.28.2.97-98","DOIUrl":"https://doi.org/10.33235/wpr.28.2.97-98","url":null,"abstract":"Bench research provides Level 51, 2 evidence that moisture, temperature and humidity influence the coefficient of friction between the skin and fabrics, and that performance differs between fabrics. Evidence from one randomized controlled trial (RCT),3 provided Level 1 evidence supporting use of a low friction fabric in conjunction with an incontinence product for older individuals to reduce the incidence of PIs. Level 24-6 and Level 37, 8 evidence suggested that low friction fabrics can be used in a range of care settings (e.g. medical, surgical and intensive care) for individuals at high and lower risk of PIs to reduce the risk of developing a new PI. This evidence supported a Grade B recommendation (a weak recommendation).9","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45348778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paediatric patients are at risk of developing pressure injuries; however, there is a paucity of literature addressing the specific considerations related to pressure injury prevention for this patient cohort. Pressure injuries are generally linked to the adult patient population, hence most of the literature available to date is related to prevention and management of pressure injuries in older people or adult patients considered to be at high risk. The aim of this paper is to outline recommended pressure injury risk assessments for the neonatal/paediatric patient and to highlight some specific pressure injury prevention considerations when caring for this often-overlooked patient population.
{"title":"Paediatric pressure injuries: considerations for this patient cohort","authors":"C. Boylan","doi":"10.33235/wpr.28.2.84-89","DOIUrl":"https://doi.org/10.33235/wpr.28.2.84-89","url":null,"abstract":"Paediatric patients are at risk of developing pressure injuries; however, there is a paucity of literature addressing the specific considerations related to pressure injury prevention for this patient cohort. Pressure injuries are generally linked to the adult patient population, hence most of the literature available to date is related to prevention and management of pressure injuries in older people or adult patients considered to be at high risk. The aim of this paper is to outline recommended pressure injury risk assessments for the neonatal/paediatric patient and to highlight some specific pressure injury prevention considerations when caring for this often-overlooked patient population.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46185436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Walker, F. Lin, W. Chaboyer, S. Latimer, A. Eskes, Cheryl Clayton, C. Murphy, I. Sladdin, C. Bull, B. Gillespie
Objective To identify the priorities and challenges related to surgical wound care from the perspectives of clinicians and health consumers / patients at a private hospital in Australia. Methods: Twenty-five clinical questions related to five surgical wound management topics were developed a priori and presented to four clinicians at a workshop. Questions were ranked by participating clinicians using a consensus building approach to identify the top two research priorities. One health consumer who had experience with a surgical wound was interviewed. Transcripts from the workshop and the consumer interview were analysed using a deductive approach. Results: The clinicians’ top priority questions focused on the importance of the consumer in their postoperative wound management, and the role of the wound care team in providing evidence-based care. The patient highlighted the vital role collaboration with clinicians played in the successful management of their surgical wound and continuity of care. Conclusion: Strategies to partner with consumers in the prevention of surgical wound complications can be successfully incorporated into clinical practice. Key points: What is known about the topic? While there are clear gaps in current surgical wound care practices, there is also increasing evidence that suggests wound care outcomes can improve when patients partner with clinicians. What does this paper add? Surgical wound care outcomes improved when clinicians prepared and worked with consumers using frequent education, support and assessment approaches. What are the implications for practitioners? Partnership approaches between clinicians and consumers in the prevention of surgical wound complications can be successfully incorporated into clinical practice.
{"title":"Identifying surgical wound care priorities from the perspectives of clinicians and health consumers in an Australian private healthcare context: a case study","authors":"R. Walker, F. Lin, W. Chaboyer, S. Latimer, A. Eskes, Cheryl Clayton, C. Murphy, I. Sladdin, C. Bull, B. Gillespie","doi":"10.33235/wpr.28.1.17-21","DOIUrl":"https://doi.org/10.33235/wpr.28.1.17-21","url":null,"abstract":"Objective To identify the priorities and challenges related to surgical wound care from the perspectives of clinicians and health consumers / patients at a private hospital in Australia. \u0000Methods: Twenty-five clinical questions related to five surgical wound management topics were developed a priori and presented to four clinicians at a workshop. Questions were ranked by participating clinicians using a consensus building approach to identify the top two research priorities. One health consumer who had experience with a surgical wound was interviewed. Transcripts from the workshop and the consumer interview were analysed using a deductive approach. \u0000Results: The clinicians’ top priority questions focused on the importance of the consumer in their postoperative wound management, and the role of the wound care team in providing evidence-based care. The patient highlighted the vital role collaboration with clinicians played in the successful management of their surgical wound and continuity of care. \u0000Conclusion: Strategies to partner with consumers in the prevention of surgical wound complications can be successfully incorporated into clinical practice. \u0000Key points: \u0000What is known about the topic? While there are clear gaps in current surgical wound care practices, there is also increasing evidence that suggests wound care outcomes can improve when patients partner with clinicians. \u0000What does this paper add? Surgical wound care outcomes improved when clinicians prepared and worked with consumers using frequent education, support and assessment approaches. \u0000What are the implications for practitioners? Partnership approaches between clinicians and consumers in the prevention of surgical wound complications can be successfully incorporated into clinical practice.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":"21 1","pages":"17-21"},"PeriodicalIF":0.6,"publicationDate":"2020-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74676417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Iodine-impregnated surgical drapes aim to protect the wound from bacterial re-colonisation and therefore prevent surgical site infection (SSI). Studies have produced conflicting results regarding the efficacy of this intervention. Methods: Ovid EMBASE, Ovid MEDLINE, Scopus and PubMed were searched for randomised control trials (RCTs) and cohort studies in which iodine-impregnated drapes were used to reduce SSI. The risk of bias was evaluated using the Cochrane Risk of Bias 2.0 tool for RCTs and the ROBINS-I tool for cohort studies. RevMan was used for meta-analysis. Additional sub-group analysis was performed for incision type. Results: Two RCTs and seven cohort studies inclusive of 4119 patients were included. The RCTs demonstrate a risk ratio (RR) for SSI in the intervention group of 0.92 (p=0.70), whereas the RR in the cohort studies is 0.45 (p=0.01). The number needed to prevent SSI in the cohort studies is 19.5. There is also a statistically significant reduction in SSI in the intervention group for clean-contaminated incisions, with SSI occurring in 3.8% of surgeries with an iodophor drape and 9.2% of surgeries without (RR 0.45, p=0.02). Conclusion: Our review suggests that iodine-impregnated drapes are beneficial in reducing postoperative SSI, particularly in clean-contaminated surgeries; however, the grade of evidence is poor.
{"title":"Use of iodine-impregnated surgical drapes for prevention of surgical site infection: a systematic review and meta-analysis","authors":"O. Nicholson, Be T Ho, C. Chong","doi":"10.33235/wpr.28.1.30-37","DOIUrl":"https://doi.org/10.33235/wpr.28.1.30-37","url":null,"abstract":"Background: Iodine-impregnated surgical drapes aim to protect the wound from bacterial re-colonisation and therefore prevent surgical site infection (SSI). Studies have produced conflicting results regarding the efficacy of this intervention. Methods: Ovid EMBASE, Ovid MEDLINE, Scopus and PubMed were searched for randomised control trials (RCTs) and cohort studies in which iodine-impregnated drapes were used to reduce SSI. The risk of bias was evaluated using the Cochrane Risk of Bias 2.0 tool for RCTs and the ROBINS-I tool for cohort studies. RevMan was used for meta-analysis. Additional sub-group analysis was performed for incision type. Results: Two RCTs and seven cohort studies inclusive of 4119 patients were included. The RCTs demonstrate a risk ratio (RR) for SSI in the intervention group of 0.92 (p=0.70), whereas the RR in the cohort studies is 0.45 (p=0.01). The number needed to prevent SSI in the cohort studies is 19.5. There is also a statistically significant reduction in SSI in the intervention group for clean-contaminated incisions, with SSI occurring in 3.8% of surgeries with an iodophor drape and 9.2% of surgeries without (RR 0.45, p=0.02). Conclusion: Our review suggests that iodine-impregnated drapes are beneficial in reducing postoperative SSI, particularly in clean-contaminated surgeries; however, the grade of evidence is poor.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":"5 1","pages":"30"},"PeriodicalIF":0.6,"publicationDate":"2020-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86906528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Release of the Third Edition of The International Pressure Injury Guideline","authors":"K. Carville, E. Haesler","doi":"10.33235/wpr.27.4.156","DOIUrl":"https://doi.org/10.33235/wpr.27.4.156","url":null,"abstract":"","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":"21 1","pages":"156"},"PeriodicalIF":0.6,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74743295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.33235/wpr.27.4.164-167
D. Angel
The purpose of this paper is to provide an overview of the formation of slough on the wound bed. The impact slough has on wound healing will also be explored. There are several wound cleansing products which can be used for the safe removal of slough, and several different methods of debridement - including autolytic, conservative sharp, surgical, ultrasonic, hydrosurgical and mechanical - as well as several therapies which can be used, including osmotic, biological, enzymatic dressings and monofilament fibre pads. These various methods will be described.
{"title":"Slough: what does it mean and how can it be managed","authors":"D. Angel","doi":"10.33235/wpr.27.4.164-167","DOIUrl":"https://doi.org/10.33235/wpr.27.4.164-167","url":null,"abstract":"The purpose of this paper is to provide an overview of the formation of slough on the wound bed. The impact slough has on wound healing will also be explored. There are several wound cleansing products which can be used for the safe removal of slough, and several different methods of debridement - including autolytic, conservative sharp, surgical, ultrasonic, hydrosurgical and mechanical - as well as several therapies which can be used, including osmotic, biological, enzymatic dressings and monofilament fibre pads. These various methods will be described.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":"230 1","pages":"164"},"PeriodicalIF":0.6,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74942621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.33235/wpr.27.4.184-192
M. Pagan, P. Harvey
{"title":"Implementing a pilot skin and wound care programme in two residential aged care facilities","authors":"M. Pagan, P. Harvey","doi":"10.33235/wpr.27.4.184-192","DOIUrl":"https://doi.org/10.33235/wpr.27.4.184-192","url":null,"abstract":"","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":"428 1","pages":"184"},"PeriodicalIF":0.6,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75423987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.33235/wpr.27.4.158-163
P. Upton, A. Dunk, D. Upton
{"title":"Complications associated with postoperative dressings: a clinician’s perspective","authors":"P. Upton, A. Dunk, D. Upton","doi":"10.33235/wpr.27.4.158-163","DOIUrl":"https://doi.org/10.33235/wpr.27.4.158-163","url":null,"abstract":"","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":"24 1","pages":"158"},"PeriodicalIF":0.6,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84319071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.33235/wpr.27.4.175-183
T. Kennewell, S. Mashtoub, G. Howarth, A. Cowin, Z. Kopecki
Chronic wounds are a serious medical problem both in the hospital and community setting. The healing of chronic wounds is often compromised by colonisation of different bacterial pathogens leading to life-threatening infections. Bacterial infections are a critical contributing factor to chronic wounds and can lead to biofilm formation and inhibition of innate inflammatory responses, including the reduction of acute inflammation. Concerningly, the overuse of systemic antibiotics and the use of traditional therapeutics, including topical antimicrobials – iodine, chlorhexidine and silver – have both greatly contributed to the development of a global increase in antimicrobial resistance. This has therefore led to a renewed interest in natural and alternative antimicrobial treatment strategies in wound care for the treatment of infected wounds. This review summarises the pre-clinical and clinical evidence that exists for the use of natural remedies, namely essential and animal oils, as adjunctive therapeutic approaches for the treatment of infected wounds. It also discusses novel approaches in nanotechnology that are being used for the development of natural remedies aimed at improving the healing of infected chronic wounds.
{"title":"Antimicrobial and healing-promoting properties of animal and plant oils for the treatment of infected wounds","authors":"T. Kennewell, S. Mashtoub, G. Howarth, A. Cowin, Z. Kopecki","doi":"10.33235/wpr.27.4.175-183","DOIUrl":"https://doi.org/10.33235/wpr.27.4.175-183","url":null,"abstract":"Chronic wounds are a serious medical problem both in the hospital and community setting. The healing of chronic wounds is often compromised by colonisation of different bacterial pathogens leading to life-threatening infections. Bacterial infections are a critical contributing factor to chronic wounds and can lead to biofilm formation and inhibition of innate inflammatory responses, including the reduction of acute inflammation. Concerningly, the overuse of systemic antibiotics and the use of traditional therapeutics, including topical antimicrobials – iodine, chlorhexidine and silver – have both greatly contributed to the development of a global increase in antimicrobial resistance. This has therefore led to a renewed interest in natural and alternative antimicrobial treatment strategies in wound care for the treatment of infected wounds. This review summarises the pre-clinical and clinical evidence that exists for the use of natural remedies, namely essential and animal oils, as adjunctive therapeutic approaches for the treatment of infected wounds. It also discusses novel approaches in nanotechnology that are being used for the development of natural remedies aimed at improving the healing of infected chronic wounds.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":"14 1","pages":"175"},"PeriodicalIF":0.6,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74921638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.33235/wpr.27.4.193-195
E. Haesler
What is the best available evidence on effectiveness of exercise for healing venous leg ulcers (VLUs)?
关于运动治疗下肢静脉性溃疡(VLUs)有效性的最佳证据是什么?
{"title":"Evidence Summary: Venous leg ulcers: Exercise","authors":"E. Haesler","doi":"10.33235/wpr.27.4.193-195","DOIUrl":"https://doi.org/10.33235/wpr.27.4.193-195","url":null,"abstract":"What is the best available evidence on effectiveness of exercise for healing venous leg ulcers (VLUs)?","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":"8 1","pages":"193"},"PeriodicalIF":0.6,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87141354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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