脊髓损伤社区用户使用 MPPT 治疗伤口和压力损伤以及控制骨髓炎引起的软组织感染的患者报告结果调查。

IF 1.3 Q3 REHABILITATION Frontiers in rehabilitation sciences Pub Date : 2024-06-20 eCollection Date: 2024-01-01 DOI:10.3389/fresc.2024.1386518
Damian Smith, Mark Ridler
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引用次数: 0

摘要

背景:脊髓损伤(SCI)患者是压力伤的高危人群。SCI 社区的报告显示,一种新型伤口治疗方法 MPPT(微孔颗粒技术)可有效治疗压力伤。因此,英国脊柱损伤协会对 MPPT 用户进行了一项调查,以了解他们的经验:在线调查仅限于脊髓损伤患者。方法:仅限脊髓损伤患者参与的在线调查,要求参与者表明身份,以便验证其陈述:调查中,41 名受访者共报告了 49 处伤口,其中主要分为两类:伤口(33 处),主要是骨盆压疮;以及骨髓炎引起的引流性瘘管(9 处)。所有报告的伤口均已完全闭合。急性伤口使用 MPPT 的中位持续时间和闭合时间分别为 3 周和 4 周(结论:MPPT 的闭合率达到 100%:MPPT 可使急性和慢性伤口的闭合率达到 100%,对于引流瘘管,可有效控制骨髓炎引起的软组织感染。MPPT 无需卧床休息,适合自我护理和远程医疗,可提高独立性和生活质量。这些研究结果与最近一项关于 MPPT 的临床研究结果非常吻合。
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Patient-reported outcome survey of user-experiences in the spinal cord injured-community with MPPT for treating wounds and pressure injuries and for controlling soft tissue infection caused by osteomyelitis.

Background: People with spinal cord injury (SCI) are at high risk of developing pressure injuries. Reports in the SCI-community had indicated that a new class of wound treatment, MPPT (micropore-particle-technology), was effective in treating pressure injuries. The British Spinal Injuries Association therefore conducted a survey among MPPT-users to learn from their experiences.

Methods: Online survey restricted to individuals with spinal cord injury. Participants were requested to identify themselves to permit validation of statement.

Results: The survey had 41 respondents reporting on a total of 49 wounds of which the two main categories were wounds (n = 33), primarily pelvic pressure ulcers; and draining fistulas (n = 9) caused by osteomyelitis. All wounds reported had reached full closure. Median duration of MPPT use and time to closure were 3 and 4 weeks for acute wounds (<6 weeks old) and 8 and 10 weeks for chronic wounds, respectively. On draining fistulas, MPPT had been used to reduce wound size, remove soft tissue infection, avoid sepsis, reduce autonomic dysreflexia, improve overall health, and avoid bed rest, whilst waiting for surgery. Comments on MPPT were 84% highly positive, 11% positive, and 0% negative. No adverse events were reported.

Conclusions: MPPT achieved a 100% closure rate of acute and chronic wounds, and, in draining fistulas, effectively controlled soft tissue infection resulting from osteomyelitis. MPPT does not require bed rest and is suitable for self-care and telemedicine, promoting independence and higher quality-of-life. The findings strongly agree with a recent clinical study of MPPT.

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