Journal of wound care最新文献_第3页

The true incidence and cost of surgical site infection. 手术部位感染的真实发生率和成本。

IF 1.5 4区医学

Journal of wound care Pub Date : 2025-04-02 DOI: 10.12968/jowc.2025.0078

Chuck Edmiston, Giles Bond-Smith, David Leaper

引用次数: 0

Debridement - how efficient can a wound dressing be? The answer from a large prospective observational study. 清创-伤口敷料的效率如何？答案来自一项大型前瞻性观察研究。

IF 1.5 4区医学

Journal of wound care Pub Date : 2025-04-02 Epub Date: 2025-03-28 DOI: 10.12968/jowc.2025.0046

Finja Reinboldt-Jockenhöfer, Michael Dietlein, Arthur Grünerbel, Markus Stücker, Elisa Häuser, Udo Möller, Laetitia Thomassin, Joachim Dissemond

{"title":"Debridement - how efficient can a wound dressing be? The answer from a large prospective observational study.","authors":"Finja Reinboldt-Jockenhöfer, Michael Dietlein, Arthur Grünerbel, Markus Stücker, Elisa Häuser, Udo Möller, Laetitia Thomassin, Joachim Dissemond","doi":"10.12968/jowc.2025.0046","DOIUrl":"https://doi.org/10.12968/jowc.2025.0046","url":null,"abstract":"Objective: To evaluate the performance and tolerance of two polyabsorbent fibre dressings (a pad impregnated with a technology lipido-colloid healing matrix and a rope) in an unselected cohort of patients with wounds of various aetiologies in daily practice.Method: A prospective, observational, multicentre study was conducted in 152 centres across Germany. Wounds were treated with the evaluated dressings (UrgoClean pad and UrgoClean rope, Laboratoires Urgo, France) for six weeks. Main outcomes included changes in: overall wound healing progression; wound bed tissues; exudate; infection status; malodour; and pain, as well as acceptability and tolerance of the dressings.Results: A total of 1558 patients (aged 3-100 years) were included: 944 patients with chronic (mostly venous leg ulcers, diabetic foot ulcers and pressure ulcers) wounds; and 614 with other wounds (mostly surgical wounds, skin abrasions and burns). By the final visit, 42.0% of wounds had healed within 33±15 days, and a wound healing improvement was reported in 52.5%. Continuous reduction in sloughy tissue was observed (from 60% initially to 10% at final visit), regardless of dressing or wound type. This improvement was associated with a reduction in: infection rates, by 87.3%; malodour, by 86.7%; maceration by 65.6%; and spontaneous pain by 60.4%. Both dressings were rated as 'very well' tolerated and 'accepted' by most patients (85.3 and 76.1%, respectively), and judged as 'extremely useful' by the majority of physicians (72.0%), notably in cases of infected wounds without antibiotic therapy.Conclusion: The two dressings assessed in this study were shown to be efficient in removing sloughy tissue and promoting wound healing, regardless of wound type or infection status. These results are consistent with previous clinical evidence and support their intended use.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"34 4","pages":"261-270"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008858","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

Rethinking mildly infected diabetic foot ulcers: lessons from Gleason and cancer taxonomy. 重新思考轻度感染糖尿病足溃疡：从格里森和癌症分类的教训。

IF 1.5 4区医学

Journal of wound care Pub Date : 2025-04-02 DOI: 10.12968/jowc.2025.0077

David G Armstrong

引用次数: 0

Intralesional cryotherapy for treatment of keloid scars: patient-reported outcomes. 病灶内冷冻疗法治疗瘢痕疙瘩：患者报告的结果。

IF 1.5 4区医学

Journal of wound care Pub Date : 2025-04-02 DOI: 10.12968/jowc.2021.0087

Kiran Dhaliwal, Tae Parks, Colin Brewster, Shivram Singh

{"title":"Intralesional cryotherapy for treatment of keloid scars: patient-reported outcomes.","authors":"Kiran Dhaliwal, Tae Parks, Colin Brewster, Shivram Singh","doi":"10.12968/jowc.2021.0087","DOIUrl":"https://doi.org/10.12968/jowc.2021.0087","url":null,"abstract":"Objective: Keloid scars are extremely difficult to treat with current therapy options, such as surgical excision and steroids, and have high recurrence rates. Intralesional cryotherapy is a relatively new treatment modality that uses a double-lumen needle to freeze the scar from the core, outwards. Evidence from the literature supports its use, with recurrence rates reported between 0-23%. The aim of this study was to assess patient-reported outcomes of keloid scar treatment with intralesional cryotherapy.Method: All patients who had undergone intralesional cryotherapy, with a minimum follow-up period of six weeks were asked to complete a questionnaire. Patients were asked to rate the appearance of their scar and severity of their symptoms on a Visual Analogue Scale. They also reported any side-effects, complications and whether they would recommend the treatment.Results: A total of 52 patients were included between 2017 and 2019. All patients reported an improvement in scar appearance and 91% of patients reported an improvement in pain, with an average 3.75-point reduction in pain scores. All patients would recommend the treatment. Hypopigmentation was the most frequently reported side-effect and was most common in patients with Fitzpatrick skin types V and VI. A second treatment was required by three patients; all three had keloid scarring on the anterior chest and had previously had multiple courses of steroids.Conclusion: The findings of our study appears to support the use of intralesional cryotherapy for the treatment of keloid scarring, with high patient satisfaction rates.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"34 Sup4a","pages":"xliv-xlviii"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030910","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

Use of transparent cover and elastic fixation band in patients with peripheral venous catheter: a comparison of microbiological colonisation. 外周静脉导管使用透明套和弹性固定带：微生物定植的比较。

IF 1.5 4区医学

Journal of wound care Pub Date : 2025-04-02 DOI: 10.12968/jowc.2022.0057

Busra Nur Orhan, Sonay Goktas

{"title":"Use of transparent cover and elastic fixation band in patients with peripheral venous catheter: a comparison of microbiological colonisation.","authors":"Busra Nur Orhan, Sonay Goktas","doi":"10.12968/jowc.2022.0057","DOIUrl":"https://doi.org/10.12968/jowc.2022.0057","url":null,"abstract":"Objective: The study was carried out to compare the effect of transparent covers and elastic fixation bands used in peripheral venous catheter fixation on microbiological colonisation in patients in intensive care.Method: This experimental randomised controlled study was conducted with patients treated in the Anesthesia and Reanimation Unit (an intensive care unit, ICU) of a training and research hospital in Istanbul between January 2019 and May 2020. Participants were divided into two equal groups: intervention: (catheters fixed with a transparent cover) and control (catheters fixed with an elastic fixation band) by the block randomisation method (CONSORT). After 72 hours, the catheters were removed aseptically and cultures were collected from the catheter tips. The roll plate technique was used and colony growth of ≥15 colony forming units was considered significant. The data of the study were collected using the 'Patient Information Form' and 'Catheter Follow-up and Result Form'.Results: A total of 60 patients were included in the study (30 in each group). It was found that the effect of the microbiological colony-forming microorganism species, and the area of catheter insertion on microbiological colonisation, were not statistically significantly different between the two groups (p>0.05).Conclusion: The findings of this study showed that both fixation methods can be used with effective nursing care in the treatment of patients in ICUs.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"34 Sup4a","pages":"xlix-lvi"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027095","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

An advanced diagnostic imaging tool to enhance clinical decision-making and wound healing. 一个先进的诊断成像工具，以提高临床决策和伤口愈合。

IF 1.5 4区医学

Journal of wound care Pub Date : 2025-04-02 Epub Date: 2025-03-22 DOI: 10.12968/jowc.2025.0104

Thomas Serena, William H Tettelbach, Andrew Rader, Amy Couch, Naz Wahab, Misael Alonso, Dan Kapp, Martha R Kelso, Martin L Johnson, Marcus Gitterle

引用次数: 0

When two debilitating diseases collide: frailty and diabetic foot. 当两种使人衰弱的疾病碰撞时：虚弱和糖尿病足。

IF 1.5 4区医学

Journal of wound care Pub Date : 2025-04-02 DOI: 10.12968/jowc.2023.0342

Hikmet Erhan Güven, Mehtap Günel, Cansu Cambaz, Hüliya Yağcioğlu, İbrahim Yilmaz, Gözde Şengül Ayçiçek

{"title":"When two debilitating diseases collide: frailty and diabetic foot.","authors":"Hikmet Erhan Güven, Mehtap Günel, Cansu Cambaz, Hüliya Yağcioğlu, İbrahim Yilmaz, Gözde Şengül Ayçiçek","doi":"10.12968/jowc.2023.0342","DOIUrl":"https://doi.org/10.12968/jowc.2023.0342","url":null,"abstract":"Objective: The purpose of this study was to determine the frailty status and contributing factors of patients who presented to our department with diabetic foot (DF).Method: Between 1 January and 30 September 2023, consecutive patients <65 years of age who presented to our outpatient clinic with DF were included in this prospective study. The Clinical Frailty Scale (CFS) was used to measure frailty at the patients' initial appointment. Based on their CFS scores, the patients were divided into two groups: non-frail patients (with a level of 1-4); and frail patients (with a level of ≥5).Results: The median age of the 97 patients included in the study was 56 years, and median follow-up period was 3.8 months. Based on their CFS levels, 36 (37.1%) patients were defined as frail. There were considerably more patients in the frail group with Wagner stages 3 and 4 DF (p<0.001). More than half of patients in the frail group required a minor amputation for their DF (52.7% compared with 24.6% in the non-frail group; p=0.005).Conclusion: DF is a debilitating disease which can lead to frailty, even in the non-geriatric population. Frailty is associated with an advanced stage of the disease and minor amputations in patients <65 years.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"34 4","pages":"321-326"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970953","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

Self-management perceptions and experiences of patients with hard-to-heal wounds: a qualitative study. 难以愈合伤口患者的自我管理认知和经验：一项定性研究。

IF 1.5 4区医学

Journal of wound care Pub Date : 2025-04-02 DOI: 10.12968/jowc.2021.0212

Lu Zhang, Lan Gu, Lin-Zhu Wu, Xue-Hua Zhao, Xun Wang, Yi Chen

{"title":"Self-management perceptions and experiences of patients with hard-to-heal wounds: a qualitative study.","authors":"Lu Zhang, Lan Gu, Lin-Zhu Wu, Xue-Hua Zhao, Xun Wang, Yi Chen","doi":"10.12968/jowc.2021.0212","DOIUrl":"https://doi.org/10.12968/jowc.2021.0212","url":null,"abstract":"Objective: This study explored the perceptions, psychological changes and needs for home self-management in people with hard-to-heal wounds.Method: Participants were recruited from a wound care outpatient clinic of The First Affiliated Hospital of Soochow University, China, and qualitative, semi-structured interviews were conducted. A phenomenological approach of qualitative research was used, and the data were collected and analysed using Colaizzi's method.Results: The research cohort comprised 15 patients and three themes were extracted: (1) symptom management burden (symptom distress and lack of knowledge about wound care); (2) inadequate resources related to self-management (insufficient medical resources in primary hospitals, tortuosity of the treatment-seeking process, expectation of access to wound expertise); and (3) self-managing pressures coexisting with motivation (high expectations for and low level of attention to wound healing, varied treatment adherence, financial burden, negative emotions, the contradiction between work and rest, and social communication impact).Conclusion: There was variation in the perception of self-management among patients with hard-to-heal wounds, with only some patients knowing how to perform wound self-management at home. Overall, patients with hard-to-heal wounds had poor perceptions of self-management. Healthcare workers should encourage and guide patients with hard-to-heal wounds to self-manage, which will help to increase the patient's motivation for self-management and reduce the burden of symptom management. Professional staff in community and secondary hospitals should be trained to improve their guidance skills for self-management for patients with hard-to-heal wounds.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"34 4","pages":"294-302"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006380","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

Foreword. 前言。

IF 1.5 4区医学

Journal of wound care Pub Date : 2025-04-01 DOI: 10.12968/jowc.2025.34.Sup4c.S3

Zhiwen Joseph Lo

引用次数: 0

The beneficial effects of high-intensity laser therapy on a perineal wound in a patient with rectal cancer: a case report. 高强度激光治疗直肠癌患者会阴伤口的有益效果：1例报告。

IF 1.5 4区医学

Journal of wound care Pub Date : 2025-04-01 DOI: 10.12968/jowc.2022.0153

Wenjun Dai, Cuiqin Hu, Wenxiang Chen, Boqing Xu, Ying Shen

{"title":"The beneficial effects of high-intensity laser therapy on a perineal wound in a patient with rectal cancer: a case report.","authors":"Wenjun Dai, Cuiqin Hu, Wenxiang Chen, Boqing Xu, Ying Shen","doi":"10.12968/jowc.2022.0153","DOIUrl":"https://doi.org/10.12968/jowc.2022.0153","url":null,"abstract":"Background: Poor healing rates of perineal wounds are a common occurrence following abdominoperineal resection for rectal cancer. Methods to facilitate wound healing have become a focus for treatment, with added benefits of reducing pain and improving prognosis.Method: In recent years, high-intensity laser therapy (HILT) has generated substantial interest within the fields of basic research and clinical rehabilitation. In particular, the use of HILT has been shown to have benefits in healing perineal wounds after eight weeks of treatment. This study investigated the effects of HILT on accelerating the healing of a postoperative perineal wound.Case presentation: The case of a 65-year-old man who had undergone abdominoperineal resection for rectal cancer is presented. Poor wound healing rates with severe pain occurred following the surgery, and HILT was used for treatment.Conclusion: Our results showed that HILT facilitated wound healing, consequently decreasing pain and improving treatment and prognosis.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"34 Sup4","pages":"S22-S24"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024696","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