Journal of wound care最新文献_第10页

Hydration response technology dressings for low to excessively exuding wounds: a systematic review. 针对渗液较少或渗液过多伤口的水合反应技术敷料：系统综述。

IF 1.9 4区医学

Journal of wound care Pub Date : 2024-06-02 DOI: 10.12968/jowc.2024.0088

Hadar Avihai Lev-Tov, Sarah Hermak

{"title":"Hydration response technology dressings for low to excessively exuding wounds: a systematic review.","authors":"Hadar Avihai Lev-Tov, Sarah Hermak","doi":"10.12968/jowc.2024.0088","DOIUrl":"10.12968/jowc.2024.0088","url":null,"abstract":"Objective: The aim of this systematic review was to identify and qualify the current available evidence of the wound exudate handling capabilities and the cost-effectiveness of hydration response technology (HRT). HRT combines physically modified cellulose fibres and gelling agents resulting in wound dressings that absorb and retain larger quantities of wound exudate.Method: A systematic search was conducted in MEDLINE (via PubMed and PubMed Central) according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was conducted using an unlimited search period. Studies or reviews that evaluated effect on wound exudate and cost-effectiveness, as well as the impact on wound healing were considered. Records focusing on wound management using HRT devices were included.Results: The literature search identified four studies and one comparative analysis, ranging from low to moderate quality, that compared HRT dressings to other interventions (carboxymethyl cellulose dressing, other superabsorbent dressings, negative pressure wound therapy).Conclusion: The analysed data supported the beneficial use of dressings with HRT for exuding wounds which was characterised by fewer dressing changes, improved periwound skin conditions and reduced costs.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship between cleaning frequency and pressure ulcer healing time in older people receiving home care. 接受家庭护理的老年人的清洁频率与压疮愈合时间之间的关系。

IF 1.9 4区医学

Journal of wound care Pub Date : 2024-06-02 DOI: 10.12968/jowc.2021.0152

Yoshiyuki Yoshikawa, Noriaki Maeshige, Masayuki Tanaka, Mikiko Uemura, Terutaka Hiramatsu, Hidemi Fujino, Masaharu Sugimoto, Hiroto Terashi

{"title":"Relationship between cleaning frequency and pressure ulcer healing time in older people receiving home care.","authors":"Yoshiyuki Yoshikawa, Noriaki Maeshige, Masayuki Tanaka, Mikiko Uemura, Terutaka Hiramatsu, Hidemi Fujino, Masaharu Sugimoto, Hiroto Terashi","doi":"10.12968/jowc.2021.0152","DOIUrl":"https://doi.org/10.12968/jowc.2021.0152","url":null,"abstract":"Objective: The relationship between the healing time of pressure ulcers (PUs) and wound cleaning frequency among older people in homecare settings was investigated.Method: This single-centre, prospective cohort study was conducted from April 2018 to March 2019. Patients who used home-visit nursing services, had National Pressure Ulcer Advisory Panel classification stage 2 PUs, and had their wounds cleaned at least twice a week were enrolled in the study. Wound cleaning was performed using tap water and a weakly acidic cleanser. Participants were divided into two groups, determined by the frequency of wound cleaning (twice weekly versus ≥3 times weekly). Duration of PU healing and the increase in care insurance premiums were compared in both groups.Results: A total of 12 patients were included in the study. The mean healing period of PUs cleaned ≥3 times per week (65.3±24.8 days) was significantly shorter than that of PUs cleaned twice a week (102.6±19.2 days; p<0.05). Furthermore, the increase in care insurance premiums for PUs cleaned ≥3 times per week (¥122,497±105,660 Yen per six months) was significantly lower than that for PUs cleaned twice a week (¥238,116±60,428 per six months) (p<0.05).Conclusion: Our results suggest that frequent cleaning of PUs by health professionals in homecare settings not only shorten PU healing period but also reduces care insurance premiums for PU care.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changing perceptions of care in home care and nursing home settings. 改变对家庭护理和养老院护理的看法。

IF 1.9 4区医学

Journal of wound care Pub Date : 2024-06-02 DOI: 10.12968/jowc.2024.0164

Mark Collier

引用次数: 0

Pressure ulcers related to prone positioning: a pandemic amidst a pandemic. 与俯卧位有关的压疮：大流行中的大流行。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-06-02 DOI: 10.12968/jowc.2021.0105

Hassiel Aurelio Ramirez-Marin, Irazu Contreras-Yañez, Karin Ivette Campos-Jimenez, Leticia Molina-Murrieta, Yeni Huerta-Ramirez, Judith Guadalupe Domínguez-Cherit

{"title":"Pressure ulcers related to prone positioning: a pandemic amidst a pandemic.","authors":"Hassiel Aurelio Ramirez-Marin, Irazu Contreras-Yañez, Karin Ivette Campos-Jimenez, Leticia Molina-Murrieta, Yeni Huerta-Ramirez, Judith Guadalupe Domínguez-Cherit","doi":"10.12968/jowc.2021.0105","DOIUrl":"10.12968/jowc.2021.0105","url":null,"abstract":"Objective: To explore the epidemiology and risk factors associated with the development of pressure ulcers (PUs) in patients receiving prone positioning (PP) ventilatory therapy; to compare the inflammatory status of patients who develop PUs with those who do not; and to describe the experience and useful findings that have allowed us to improve the management of these patients to reduce the incidence of PUs.Method: An observational, descriptive and longitudinal study was conducted, where sociodemographic and laboratory data were collected from patients who were hospitalised and required PP ventilatory therapy in critical care areas (CCA) during the months of May-October 2020.Results: From the total number of patients who required PP during their CCA stay (n=240), 202 (84.2%) developed a PU. The four most frequent areas where a PU appeared were: the head and neck (n=115); the pinna (n=21); the torso (n=21); and the lower limbs (n=21). Patients who developed PU were more frequently males with higher initial levels of creatinine phosphokinase and ferritin. The incidence for each month of follow-up decreased from 8.3% to 5.8%.Conclusion: Regardless of the intervention, a multidisciplinary approach is required to optimise the prevention and treatment of these wounds. While PUs are often the result of other medical conditions or poor health status in general, the vast majority of PUs are avoidable.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Best practice for wound debridement. 伤口清创的最佳做法。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-06-01 DOI: 10.12968/jowc.2024.33.Sup6b.S1

Dieter O Mayer, William H Tettelbach, Guido Ciprandi, Fiona Downie, Jane Hampton, Heather Hodgson, Jose Luis Lazaro-Martinez, Astrid Probst, Greg Schultz, Ewa Klara Stürmer, Alison Parnham, Nicoletta Frescos, Duncan Stang, Samantha Holloway, Steve L Percival

引用次数: 0

Non-lactational mastitis with multiple sinus wounds treated by integrated traditional Chinese and Western medicine. 中西医结合治疗非哺乳期乳腺炎伴多发性窦道伤口。

IF 1.9 4区医学

Journal of wound care Pub Date : 2024-06-01 DOI: 10.12968/jowc.2022.0050

Yinhua Zhang, Ranran Zhang, Chunlei Sun, Dong Meng, Ling Chen

{"title":"Non-lactational mastitis with multiple sinus wounds treated by integrated traditional Chinese and Western medicine.","authors":"Yinhua Zhang, Ranran Zhang, Chunlei Sun, Dong Meng, Ling Chen","doi":"10.12968/jowc.2022.0050","DOIUrl":"10.12968/jowc.2022.0050","url":null,"abstract":"Objective: Non-lactational mastitis (NLM) is a benign inflammatory disease of the mammary gland, with pain, swelling and redness as the main clinical manifestations. There is no unified and effective standard treatment plan for this disease at present. In addition to breast cancer, non-lactational mastitis is also becoming a presenting complaint in an increasing number of outpatients at the authors' clinic. This case report summarises the treatment and management of a 35-year-old female patient with NLM complicated with multiple sinus wounds after surgery.Method: The patient was treated as follows, with: timely debridement according to the local condition of the wound, with manual compression to drain exudate from the sinus wound; selected wound dressings according to their performance and characteristics to fill the sinus tract for drainage and infection control; psychological care of the patient and their family to ensure that patients actively participate in the treatment; family support to the patient to deal with negative emotions; integrated traditional Chinese and Western medicine to prevent/manage infection; dietary care and control; posture management and health education to facilitate the patient's wound healing process.Results: After local management with systemic treatment and management using integrated traditional Chinese and Western medicine, the wound healed after 46 days, with no recurrence during a follow-up period of one year.Conclusion: As shown in this case report, the wound should be cut and drained as soon as possible in order to prevent obstruction of the sinus drainage. Modern wound dressings are selected for the 'external' treatment of local wounds. Integrated traditional Chinese and Western medicine may help in systemic therapy of the whole patient.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lessons learnt from an aggressive tumour masquerading as a neuropathic heel ulcer: a case report. 从伪装成神经性足跟溃疡的侵袭性肿瘤中汲取的教训：病例报告。

IF 1.9 4区医学

Journal of wound care Pub Date : 2024-06-01 DOI: 10.12968/jowc.2022.0281

Qusai AlJarrah, Arafat M Hammad, Bana Eyad Shehadeh, Mohammad AlQudah, Ahmad K Abou-Foul

{"title":"Lessons learnt from an aggressive tumour masquerading as a neuropathic heel ulcer: a case report.","authors":"Qusai AlJarrah, Arafat M Hammad, Bana Eyad Shehadeh, Mohammad AlQudah, Ahmad K Abou-Foul","doi":"10.12968/jowc.2022.0281","DOIUrl":"10.12968/jowc.2022.0281","url":null,"abstract":"Cutaneous malignant melanoma (cMM) can develop at any site, but one-third of cases primarily affect the lower extremities, with ankle and foot lesions representing 3-15% of all cases. However, cMM may become a clinical conundrum when it presents as chronic ulceration that is clinically indiscernible from other lower extremity ulcers in patients with diabetes. We present the case of a 71-year-old female patient with a longstanding history of diabetes, hypertension, obesity, chronic kidney disease and heart failure who presented to our hospital with a fungating heel ulcer. The lesion was initially managed in another hospital as a neuropathic diabetic foot ulcer (DFU), treated by multiple local wound debridement. However, the ulcer progressed into a fungating heel lesion that interfered with the patient's mobility and quality of life. Consequently, the patient was referred to our specialist diabetic foot service for further management. Excisional biopsy of the lesion disclosed a cMM. Positron emission tomography/computed-tomography scanning revealed hypermetabolic ipsilateral inguinal lymphadenopathy, and a right cerebral metastasis for which palliative chemotherapy was initiated. Immunotherapy was considered, but the patient died before it was started. Atypical foot ulcers in patients with diabetes warrant a careful diagnostic approach, especially for recalcitrant cutaneous lesions not responding to standard therapies. Conscientious management, without undue delay in obtaining a histopathological diagnosis, might lead to early diagnosis of melanoma and potentially more favourable outcomes. This case highlights the importance of consideration of atypical foot lesions, in general practice in addition to referral centres, to try to identify alarming features and act accordingly.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The WUWHS commitment to sharing best practice. WUWHS 致力于分享最佳实践。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-06-01 DOI: 10.12968/jowc.2024.0161

Harikrishna Kr Nair

引用次数: 0

Predictors of surgical management in diabetic foot infections. 糖尿病足感染手术治疗的预测因素。

IF 1.9 4区医学

Journal of wound care Pub Date : 2024-06-01 DOI: 10.12968/jowc.2021.0010

Tuna Demirdal, Pinar Sen

{"title":"Predictors of surgical management in diabetic foot infections.","authors":"Tuna Demirdal, Pinar Sen","doi":"10.12968/jowc.2021.0010","DOIUrl":"https://doi.org/10.12968/jowc.2021.0010","url":null,"abstract":"Objective: Early recognition of the need for surgical intervention is crucial in terms of limiting amputation level and decreasing mortality. We aimed to determine the risk factors for limb loss in patients with diabetic foot infection (DFI).Method: Data of hospitalised patients with a DFI between 2010 and 2019 were collected retrospectively from their hospital records. Clinical and laboratory findings were analysed according to the type of treatment.Results: Data were collected for 401 patients, 280 (69.8%) of whom were male. The mean age was 59.6±11.1 years. Treatment modalities included: medical treatment (36.4%); debridement/drainage (21.9%); minor amputation (17.7%); and major amputation (23.9%). Forefoot infection (odds ratio (OR): 3.347; 95% confidence interval (Cl): 1.408-7.956) and peripheral arterial disease (OR: 4.990; 95% Cl: 1.225-20.324) were found to be significant in predicting limb loss, while duration of diabetes (≥20 years) and absence of forefoot infection were significant predictors of debridement/drainage. Subgroup analysis showed that high leukocyte levels (>16.4K/μl) and forefoot infections were independent predictors for major and minor amputation, respectively.Conclusion: The clinical parameters used in this study are simple, broadly available, cost-effective and promising for predicting limb loss in patients with DFI.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlation between initial serum 25-hydroxyvitamin D and granulation growth in diabetic foot ulcers. 糖尿病足溃疡中初始血清 25- 羟维生素 D 与肉芽生长之间的相关性。

IF 1.9 4区医学

Journal of wound care Pub Date : 2024-06-01 DOI: 10.12968/jowc.2021.0243

Em Yunir, Fajar Englando Alan Adesta, Aulia Rizka, Tri Juli Edi Tarigan

引用次数: 0