{"title":"The impact of an aggressive clinic-based diabetic foot protocol: a single-center case series.","authors":"Qing Jia, Xiaojing Yin, Wen Qin, Jiaojiao Bai","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The considerable health and economic burden of hard-to-heal wounds has become increasingly prominent. Diabetic foot ulcers (DFUs), as a representative type of these wounds, pose substantial challenges for health care professionals in both treatment and long-term management.</p><p><strong>Objective: </strong>To evaluate the efficacy of a standardized wound hygiene protocol in promoting healing outcomes for DFUs and to provide supplementary clinical evidence to inform wound care practices.</p><p><strong>Materials and methods: </strong>Diabetic foot care specialists administered a wound hygiene protocol to 20 patients with DFUs. The protocol comprised 4 key components: cleansing, debridement, wound edge refashioning, and dressing coverage. Wound healing progress was monitored and documented over a 12-week observation period.</p><p><strong>Results: </strong>After 12 weeks of treatment with the wound hygiene protocol in the multidisciplinary diabetic foot clinic, 16 of the 20 patients achieved complete wound healing, while the remaining 4 patients showed significant wound improvement, resulting in a healing rate of 80%. Wound area, exudate level, and pain scores all showed significant improvement compared to baseline, with statistically significant differences (P < .001). The overall mean (SD) wound area reduction rate was 95.11% (10.46%), with a mean healing rate of 1.32 (0.36) cm² per week. The average healing time for patients with complete healing was 56.44 (25.12) days.</p><p><strong>Conclusion: </strong>This case series demonstrates that the implementation of a wound hygiene protocol significantly enhances healing outcomes in patients with DFUs. These findings provide critical insights for the management of diverse hard-to-heal wounds in clinical practice.</p>","PeriodicalId":23752,"journal":{"name":"Wounds : a compendium of clinical research and practice","volume":"37 7","pages":"269-274"},"PeriodicalIF":1.1000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wounds : a compendium of clinical research and practice","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The considerable health and economic burden of hard-to-heal wounds has become increasingly prominent. Diabetic foot ulcers (DFUs), as a representative type of these wounds, pose substantial challenges for health care professionals in both treatment and long-term management.
Objective: To evaluate the efficacy of a standardized wound hygiene protocol in promoting healing outcomes for DFUs and to provide supplementary clinical evidence to inform wound care practices.
Materials and methods: Diabetic foot care specialists administered a wound hygiene protocol to 20 patients with DFUs. The protocol comprised 4 key components: cleansing, debridement, wound edge refashioning, and dressing coverage. Wound healing progress was monitored and documented over a 12-week observation period.
Results: After 12 weeks of treatment with the wound hygiene protocol in the multidisciplinary diabetic foot clinic, 16 of the 20 patients achieved complete wound healing, while the remaining 4 patients showed significant wound improvement, resulting in a healing rate of 80%. Wound area, exudate level, and pain scores all showed significant improvement compared to baseline, with statistically significant differences (P < .001). The overall mean (SD) wound area reduction rate was 95.11% (10.46%), with a mean healing rate of 1.32 (0.36) cm² per week. The average healing time for patients with complete healing was 56.44 (25.12) days.
Conclusion: This case series demonstrates that the implementation of a wound hygiene protocol significantly enhances healing outcomes in patients with DFUs. These findings provide critical insights for the management of diverse hard-to-heal wounds in clinical practice.
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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