Hui-Hsiu Chang, Wen-Chu Chiang, Chia-Chin Hsieh, Chen-Shu Chang, Hui-Chun Liao, Chau-Chen Torng, Matthew Huei-Ming Ma
{"title":"Significant reduction in full-thickness pressure injuries through the quality improvement project that implements alternating pressure air mattresses","authors":"Hui-Hsiu Chang, Wen-Chu Chiang, Chia-Chin Hsieh, Chen-Shu Chang, Hui-Chun Liao, Chau-Chen Torng, Matthew Huei-Ming Ma","doi":"10.1111/iwj.70054","DOIUrl":"10.1111/iwj.70054","url":null,"abstract":"<p>To assess a quality improvement project using alternating pressure air mattresses' impact on reducing full-thickness pressure injuries by enhancing setting accuracy and device utilization. We retrospectively evaluated adult acute care unit patients with inclusion criteria (Braden scores ≤12 or existing full-thickness pressure injuries) between May 2020 and August 2023. A wound team attempted to enhance the accuracy, utilization and effectiveness of alternating pressure air mattress implementation. The implementation outcomes were setting accuracy and accurate utilization rates. The clinical outcome was the full-thickness pressure injury proportion. Utilization and allocation gaps were also calculated. The setting accuracy and accurate utilization rates increased (0.59 to 0.88 and 0.15 to 0.37, respectively). The full-thickness pressure injury proportion decreased (0.17 to 0.06), with a strong negative correlation coefficient (−0.789) (<i>p</i> < 0.001) with accurate utilization rates. The full-thickness pressure injury proportion declined faster during the project's complete phase than the partial phase (−0.0046 vs. −0.0016; <i>p</i> < 0.05). The utilization gap narrowed (99 to 60); however, the allocation gap increased (1 to 13), suggesting increased alternating pressure air mattress usage among ineligible patients. Targeting high-risk patients for alternating pressure air mattress utilization and ensuring correct settings, both performed by a dedicated team, substantially reduces the full-thickness pressure injury incidence.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"21 10","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RETRACTION: The effect of traditional Chinese medicine soaking method on the healing of diabetic foot ulcers: A meta-analysis","authors":"","doi":"10.1111/iwj.70078","DOIUrl":"https://doi.org/10.1111/iwj.70078","url":null,"abstract":"<p>Retraction: <span>J. Han</span>, <span>J. Shen</span>, <span>B. Ling</span>, “ <span>The Effect of Traditional Chinese Medicine Soaking Method on the Healing of Diabetic Foot Ulcers: A Meta-Analysis</span>,” <i>International Wound Journal</i> <span>21</span>, no. <span>3</span> (<span>2023</span>): e14764, https://doi.org/10.1111/iwj.14764.</p><p>The above article, published online on 06 March 2024, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor in Chief, Professor Keith Harding; and John Wiley & Sons, Ltd. It came to the publisher's attention from a third party that a number of articles shared concerning similarities in format and structure. Following an investigation by the publisher, the retraction has been agreed on as the peer review and publishing process for this article were found to be manipulated.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"21 9","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70078","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142320684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RETRACTION: Effect of Chinese herbal compound dressings in treating patients with diabetic foot ulcers: A meta-analysis","authors":"","doi":"10.1111/iwj.70077","DOIUrl":"https://doi.org/10.1111/iwj.70077","url":null,"abstract":"<p>Retraction: <span>Q. Yang</span>, <span>F. Liu</span>, <span>C. Zhao</span>, <span>X. Xu</span>, <span>Y. Wang</span>, <span>W. Zuo</span>, “ <span>Effect of Chinese Herbal Compound Dressings in Treating Patients with Diabetic Foot Ulcers: A Meta-Analysis</span>,” <i>International Wound Journal</i> <span>21</span>, no. <span>3</span> (<span>2023</span>): e14767, https://doi.org/10.1111/iwj.14767.</p><p>The above article, published online on 05 March 2024, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor in Chief, Professor Keith Harding; and John Wiley & Sons, Ltd. It came to the publisher's attention from a third party that a number of articles shared concerning similarities in format and structure. Following an investigation by the publisher, the retraction has been agreed on as the peer review and publishing process for this article were found to be manipulated.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"21 9","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142320858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RETRACTION: Effect of topical application of autologous platelet gel on sternal wound infection after cardiac surgery: A meta-analysis","authors":"","doi":"10.1111/iwj.70080","DOIUrl":"https://doi.org/10.1111/iwj.70080","url":null,"abstract":"<p>Retraction: <span>Y. Li</span>, <span>Z. Wu</span>, “ <span>Effect of Topical Application of Autologous Platelet Gel on Sternal Wound Infection after Cardiac Surgery: A Meta-Analysis</span>,” <i>International Wound Journal</i> <span>21</span>, no. <span>3</span> (<span>2023</span>): e14761, https://doi.org/10.1111/iwj.14761.</p><p>The above article, published online on 29 February 2024, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor in Chief, Professor Keith Harding; and John Wiley & Sons, Ltd. It came to the publisher's attention from a third party that a number of articles shared concerning similarities in format and structure. Following an investigation by the publisher, the retraction has been agreed on as the peer review and publishing process for this article were found to be manipulated.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"21 9","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142320686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RETRACTION: Effect of quality nursing intervention on wound healing in patients with burns: A meta-analysis","authors":"","doi":"10.1111/iwj.70079","DOIUrl":"https://doi.org/10.1111/iwj.70079","url":null,"abstract":"<p>Retraction: <span>L. Liu</span>, <span>Z.-F. Liu</span>, <span>H.-Y. Zhu</span>, <span>H.-Q. Xu</span>, “ <span>Effect of Quality Nursing Intervention on Wound Healing in Patients with Burns: A Meta-Analysis</span>,” <i>International Wound Journal</i> <span>21</span>, no. <span>3</span> (<span>2023</span>): e14717, https://doi.org/10.1111/iwj.14717.</p><p>The above article, published online on 03 March 2024, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor in Chief, Professor Keith Harding; and John Wiley & Sons, Ltd. It came to the publisher's attention from a third party that a number of articles shared concerning similarities in format and structure. Following an investigation by the publisher, the retraction has been agreed on as the peer review and publishing process for this article were found to be manipulated.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"21 9","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142320685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"RETRACTION: Effect of two different modalities of hysterectomy on wound infection and wound dehiscence in obese patients","authors":"","doi":"10.1111/iwj.70081","DOIUrl":"https://doi.org/10.1111/iwj.70081","url":null,"abstract":"<p>Retraction: <span>L. Long</span>, <span>X. He</span>, <span>Y. Liu</span>, <span>C. Lei</span>, “ <span>Effect of Two Different Modalities of Hysterectomy on Wound Infection and Wound Dehiscence in Obese Patients</span>,” <i>International Wound Journal</i> <span>21</span>, no. <span>3</span> (<span>2023</span>): e14664, https://doi.org/10.1111/iwj.14664.</p><p>The above article, published online on 04 March 2024, in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor in Chief, Professor Keith Harding; and John Wiley & Sons, Ltd. It came to the publisher's attention from a third party that a number of articles shared concerning similarities in format and structure. Following an investigation by the publisher, the retraction has been agreed on as the peer review and publishing process for this article were found to be manipulated.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"21 9","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142320857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miriam Berenguer-Pérez, Nerea Manzanaro-García, Héctor González-de la Torre, Iván Durán-Sáenz, Elvira Hernández Martínez-Esparza, Miguel Ángel Diaz Herrera, Borja González Suárez, José Verdú-Soriano
{"title":"Systematic review and meta-analysis of diagnostic test accuracy in chronic wound's microbiology","authors":"Miriam Berenguer-Pérez, Nerea Manzanaro-García, Héctor González-de la Torre, Iván Durán-Sáenz, Elvira Hernández Martínez-Esparza, Miguel Ángel Diaz Herrera, Borja González Suárez, José Verdú-Soriano","doi":"10.1111/iwj.70063","DOIUrl":"10.1111/iwj.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aims to assess the diagnostic accuracy of non-culture-based methodologies for detecting microorganisms in chronic wounds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We systematically reviewed studies that evaluated the diagnostic accuracy of alternative tests in chronic wound samples, excluding studies focused on animal samples or unrelated conditions. The search encompassed PubMed, CINAHL, Scopus and Web of Science databases, employing the QUADAS-2 tool for risk of bias assessment. Our search included the PubMed, CINAHL, Scopus and Web of Science databases, and we assessed the risk of bias using the QUADAS-2 tool. A meta-analysis was conducted on polymerase chain reaction (PCR) and colorimetric methods to determine sensitivity, specificity, diagnostic odds ratio, and summary receiver-operating characteristic (sROC) curves using a random-effects model. For methods not suitable for quantitative synthesis, a narrative synthesis was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nineteen studies involving various types of chronic wounds were analysed, revealing diverse diagnostic methods including fluorescence, PCR, colorimetry, voltammetry, electronic nose, biosensors, enzymatic methods, staining and microscopy. Combining fluorescence with clinical signs and symptoms (CSS) versus culture showed significant accuracy. Colorimetry demonstrated low sensitivity but high specificity, with a diagnostic odds ratio of 6.3. PCR generally exhibited good accuracy, although significant heterogeneity was noted, even in subgroup analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study identified a broad spectrum of diagnostic approaches, highlighting the superior diagnostic accuracy achieved when microbiological analysis is combined with clinical assessments. However, the heterogeneity and methodological variations across studies present challenges in meta-analysis. Future research should aim for standardized and homogeneous study designs to enhance the assessment of diagnostic accuracy for alternative methods.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"21 9","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Madeline J. O'Connor, Kelly C. Ho, Nikhil Sriram, Keenan S. Fine, Bradley A. Melnick, Angelica V. Bartler, Kristin N. Huffman, Sammer M. Marzouk, Robert D. Galiano
{"title":"A systematic review on the use of transforming powder dressing for wound care","authors":"Madeline J. O'Connor, Kelly C. Ho, Nikhil Sriram, Keenan S. Fine, Bradley A. Melnick, Angelica V. Bartler, Kristin N. Huffman, Sammer M. Marzouk, Robert D. Galiano","doi":"10.1111/iwj.70046","DOIUrl":"https://doi.org/10.1111/iwj.70046","url":null,"abstract":"<p>The transforming powder dressing (Altrazeal®, Uluru Inc, Addison, TX, USA) is simple to use, painless to apply and has a wear time of up to 30 days. This study aims to review the current literature to elucidate the impact of transforming powder dressing on healing, pain management and overall patient outcomes. We conducted a systematic review following Preferred Reporting Items of Systematic Reviews and Meta-Analyses guidelines. Data including study characteristics, patient demographics and wound outcomes were extracted. Our systematic review included 26 articles (<i>n</i> = 175). Of these articles, 13 (50%) were case reports, 10 (38.5%) were case series, 2 (7.7%) were randomised controlled trials and 1 (3.8%) was a cohort study. Wound types included venous ulcer (23.9%), pressure sore (19.7%), burn (15.5%), skin graft (13.4%), diabetic foot ulcer (4.2%), Mohs defect (3.5%) and other (19.6%). Complete re-epithelialization occurred in 90.1% of the wounds. A total of 19 studies (73%) discussed pain, each of which reported reduced pain with the use of transforming powder dressing. The evaluated studies collectively suggest that transforming powder dressing offers a promising re-epithelialization rate and analgesic effect across various wound types.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"21 9","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142234022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lawrence A. Lavery, Mario C. Reyes, Mehmet Suludere, Bijan Najafi, Matthew Sideman, Michael C. Siah, Arthur N. Tarricone
{"title":"Methicillin-resistant Staphylococcus aureus in diabetic and non-diabetic foot infections","authors":"Lawrence A. Lavery, Mario C. Reyes, Mehmet Suludere, Bijan Najafi, Matthew Sideman, Michael C. Siah, Arthur N. Tarricone","doi":"10.1111/iwj.70039","DOIUrl":"https://doi.org/10.1111/iwj.70039","url":null,"abstract":"<p>To identify the incidence of methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) infection, reinfection and clinical outcomes. Four hundred forty-six patients that were admitted to the hospital with moderate or severe foot infections were retrospectively reviewed. Tissue and bone cultures were obtained from the index hospital admission. Conversion was defined as methicillin susceptible <i>Staphylococcus aureus</i> in the first culture and subsequently MRSA when there was a reinfection. The incidence of MRSA was 7.8% (<i>n</i> = 35), with no significant difference between soft tissue infections (7.7%) and osteomyelitis (8.0%). MRSA incidence was 9.4 times higher in non-diabetics (23.8% vs. 3.2%, <i>p</i> = <0.01). The incidence of reinfection was 40.8% (<i>n</i> = 182). Conversion to MRSA was seen in 2.2% (<i>n</i> = 4) total, occurring in 5.4%. Non-diabetics were 20.1 times more likely to have MRSA reinfection than people with diabetes (28.6% vs. 1.9%, <i>p</i> < 0.001). MRSA patients had a higher proportion of healed wounds (82.4% vs. 69.3%, <i>p</i> = 0.02). There were no differences in other clinical outcomes in MRSA vs. other infections in reinfection (28.6% vs. 24.3%, <i>p</i> = 0.11), amputation (48.6% vs. 52.0%, <i>p</i> = 0.69) or hospitalization (28.6% vs. 42.6, <i>p</i> = 0.11). The incidence of MRSA for the first infection (7.8%), reinfection (6.0%) and conversion to MRSA (2.2%) was low. MRSA was 9.4 times more common in people without diabetes.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"21 9","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142231109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum to “Analysis of therapeutic effect of silver-based dressings on chronic wound healing”","authors":"","doi":"10.1111/iwj.70049","DOIUrl":"https://doi.org/10.1111/iwj.70049","url":null,"abstract":"<p>Liang K, Liu Y, Jiang F. Analysis of therapeutic effect of silver-based dressings on chronic wound healing. Int Wound J. 2024;21 (8):e70006. doi:10.1111/iwj.70006</p><p>We apologize for this error.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"21 9","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142231104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}