Journal of wound care最新文献_第6页

The use of a multimodal wound matrix to treat a variety of hard-to-heal wounds: a case series surveillance. 使用多模式伤口基质治疗各种难以愈合的伤口：病例系列监测。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-09-01 DOI: 10.12968/jowc.2024.0135

David Swain, Windy Cole, Christopher Barrett, Gregory Black, Carmen Hudson, Michael Lacqua, Jacob Reinkraut, Omar Jalil, Robert McLafferty

{"title":"The use of a multimodal wound matrix to treat a variety of hard-to-heal wounds: a case series surveillance.","authors":"David Swain, Windy Cole, Christopher Barrett, Gregory Black, Carmen Hudson, Michael Lacqua, Jacob Reinkraut, Omar Jalil, Robert McLafferty","doi":"10.12968/jowc.2024.0135","DOIUrl":"https://doi.org/10.12968/jowc.2024.0135","url":null,"abstract":"Objective: This case series examines the use of a multimodal wound matrix (MWM) trialled in a selection of clinical practice settings and on a variety of hard-to-heal wounds. The objective was to evaluate the effects of MWM and its performance in managing such wounds, regardless of clinical setting and ulcer type.Method: Treatment of the MWM was conducted by independent wound care practitioners on wounds that were of >4 weeks duration. Treatment was once a week. Assessment was taken after four weeks and at week 12 of the study to assess percentage area reduction (PAR) compared to baseline measurements taken at the first treatment visit. Complete (100%) re-epithelialisation was also recorded.Results: A total of 63 wounds were treated with MWM, and ulcer types were grouped as: diabetic foot ulcers (n=21); venous leg ulcers (n=18); pressure injuries (n=10); and others (n=14). Of the wounds, 78% had 100% re-epithelialisation, with an average PAR of 57% at four weeks and 86% at 12 weeks. The average time to resolution for those wounds that closed was 7.9 weeks.Conclusion: Results from this series of independent case studies support the application of MWM to potentially benefit healing in hard-to-heal wounds of different aetiologies of any duration and in a variety of clinical settings.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290140","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

Amniotic membrane in wound healing: new perspectives. 伤口愈合中的羊膜：新视角。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-08-02 DOI: 10.12968/jowc.2022.0054

Maria Eduarda Anastácio Borgês Corrêa, Paulo Cesar Lock Silveira

引用次数: 0

The need to accelerate research and guidance to reduce surgical site infection. 需要加快研究和指导，以减少手术部位感染。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-08-02 DOI: 10.12968/jowc.2024.33.8.S3

Aneel Bhangu

引用次数: 0

Effects of concurrent optical and magnetic stimulation in hard-to-heal wounds: a real-world evidence case series. 同时进行光学和磁刺激对难愈合伤口的影响：真实世界证据案例系列。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-08-02 DOI: 10.12968/jowc.2024.0133

Jacques Neyens, Wilma van Heusden, Dennis Van Veenendaal, Jos Schols

{"title":"Effects of concurrent optical and magnetic stimulation in hard-to-heal wounds: a real-world evidence case series.","authors":"Jacques Neyens, Wilma van Heusden, Dennis Van Veenendaal, Jos Schols","doi":"10.12968/jowc.2024.0133","DOIUrl":"https://doi.org/10.12968/jowc.2024.0133","url":null,"abstract":"Objective: This work explores concurrent optical and magnetic stimulation (COMS) effects on hard-to-heal wounds in real-world settings.Method: In this case series, participants received COMS 1-3 times per week for up to 12 weeks alongside standard wound care.Results: A total of 27 patients (18 female and nine male) were included. Mean age was 72 years. Participants' wounds that were unresponsive to standard wound care included: venous leg ulcers (VLUs, n=13); mixed leg ulcers (MLUs, n=4); diabetic foot ulcers (DFUs, n=1); pressure ulcers (PUs, n=5); and traumatic wounds (TWs, n=4). On average, COMS was applied twice a week, resulting in an overall mean wound area reduction of 69%. In 24 participants, COMS was used primarily to achieve wound closure by the end of the 12-week period, of which: 12 were classified as complete wound closure (50%; VLUs=8, PUs=3 and TW=1); four as likely-to-heal (17%; VLUs=2 and MLUs=2); four as 'improved' (17%; MLU=1, DFU=1 and TWs=2); and four as 'non-responding' (17%; VLUs=3 and MLU=1). The best results were achieved in PUs and VLUs (respectively 100% and 62% categorised as completely healed). When used in participants where its purpose was other than that of achieving wound closure, COMS was successfully used to debride two PUs, and for wound bed preparation in one TW.Conclusion: In this case series, COMS showed positive effects and appeared to be beneficial in healing different types of hard-to-heal wounds in community health and homecare settings. Novel COMS therapy aspects emerged: (1) positive outcomes for PU and VLU treatment; (2) COMS as a potential debridement tool when sharp debridement is unfeasible; and (3) COMS as a promising method to prepare wound beds for subsequent skin grafting or skin replacement procedures.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976035","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

Performance of a silicone foam dressing in management of wounds in a community setting: a sub-analysis of the VIPES study. 硅酮泡沫敷料在社区伤口管理中的表现：VIPES 研究的子分析。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-08-02 DOI: 10.12968/jowc.2024.0122

Hester Colboc, Nayla Ayoub, Adoración Pegalajar-Jurado, Romain Schueller, Florence Armstrong

{"title":"Performance of a silicone foam dressing in management of wounds in a community setting: a sub-analysis of the VIPES study.","authors":"Hester Colboc, Nayla Ayoub, Adoración Pegalajar-Jurado, Romain Schueller, Florence Armstrong","doi":"10.12968/jowc.2024.0122","DOIUrl":"https://doi.org/10.12968/jowc.2024.0122","url":null,"abstract":"Objective: Managing the gap between the dressing and the wound bed can facilitate the healing of exuding wounds. A silicone foam dressing (Biatain Silicone; Coloplast A/S, Denmark) was developed for application to exuding wounds. A sub-analysis of the real-world, prospective, observational VIPES (Observatoire en Ville des Plaies ExSudatives) study was conducted to investigate the use and performance of the silicone foam dressing in a community nursing setting in France.Method: The sub-analysis included patients from the VIPES study who received the silicone foam dressing as a primary dressing for an acute or hard-to-heal (chronic) wound. Epidemiological and wound healing outcomes were reported via a smartphone application.Results: Overall, 64 patients were included in the sub-analysis. At baseline, most wounds (n=33/40; 82.5%) were in treatment failure (i.e., were stagnant, non-healing or had poor exudate management). At the last follow-up visit, a median of 22.5 (range: 3-151) days post baseline, 48.4% of wounds had healed and 25.0% were progressing towards healing. From baseline to the last follow-up visit, significant reductions in exudate level (p<0.0001) and exudate pooling (p<0.0001), and significant improvements in wound edges (p≤0.0001) and periwound skin (p<0.01) were observed. A total of 62.3% of patients had re-epithelialising wounds at the last follow-up visit. The majority of nurses (88.3%) and patients (85.0%) reported that the wound had improved and, at most dressing removals (93.5%), nurses reported that the dressing conformed closely to the wound bed.Conclusion: Overall, the data suggest that use of the silicone foam dressing in community practice supported the healing of wounds, illustrating the importance of exudate and gap management.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975986","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 need to accelerate research and guidance to reduce surgical site infection. 需要加快研究和指导，以减少手术部位感染。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-08-02 DOI: 10.12968/jowc.2024.33.Sup8.S3

Aneel Bhangu

引用次数: 0

No feeling, no pain, no gain. 没有感觉，没有痛苦，没有收获。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-08-02 DOI: 10.12968/jowc.2024.0221

Chris Manu

引用次数: 0

Risk factors associated with surgical site infection following orthopaedic surgery in South Africa and Sub-Saharan Africa: a scoping review protocol. 南非和撒哈拉以南非洲地区骨科手术后手术部位感染的相关风险因素：范围界定审查协议。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-08-02 DOI: 10.12968/jowc.2024.0102

Zhavandre Van Der Merwe, Steve D Wilton, Kylie Sandy-Hodgetts

{"title":"Risk factors associated with surgical site infection following orthopaedic surgery in South Africa and Sub-Saharan Africa: a scoping review protocol.","authors":"Zhavandre Van Der Merwe, Steve D Wilton, Kylie Sandy-Hodgetts","doi":"10.12968/jowc.2024.0102","DOIUrl":"10.12968/jowc.2024.0102","url":null,"abstract":"Objective: The objective of the scoping review will be to understand and describe risk factors associated with surgical site infection (SSI) in an orthopaedic surgery population in Sub-Saharan Africa and South Africa. This paper describes the protocol that will be used for the scoping review.Method: A comprehensive literature search will be conducted using MEDLINE (PubMed), CINAHL (EBSCO), Embase and Cochrane Libraries to identify articles meeting the inclusion criteria, including both published and grey literature, in order to provide a broad overview of the reported risk factors associated with patients who have undergone an orthopaedic surgery with an outcome of SSI within 90 days of a procedure. Additional studies will be sourced by exploring the reference list of included eligible studies. By using a combination of the Population, Exposure, Outcome framework, terms and synonyms related to each category, in different variations, along with Boolean operators (AND, OR, NOT) in the search strategy, identified comprehensive and relevant literature for the scoping review.Results: It is anticipated the results will provide a baseline of risk factors that will inform the development of a risk assessment tool for clinical use.Conclusion: This protocol will inform the development of a scoping review to describe factors associated with SSIs following orthopaedic surgery in Sub-Saharan Africa and South Africa.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975989","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

Treatment of bacterially contaminated lower extremity ulcers with a fatty acid-containing wound matrix: a case series. 用含脂肪酸的伤口基质治疗受细菌污染的下肢溃疡：一个病例系列。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-08-02 DOI: 10.12968/jowc.2024.0101

Windy Cole

{"title":"Treatment of bacterially contaminated lower extremity ulcers with a fatty acid-containing wound matrix: a case series.","authors":"Windy Cole","doi":"10.12968/jowc.2024.0101","DOIUrl":"https://doi.org/10.12968/jowc.2024.0101","url":null,"abstract":"Objective: The aim was to evaluate the effectiveness of a marine omega fatty acid-containing multimodal wound matrix (MWM) in reducing bacterial contamination and supporting wound area reduction (WAR) in patients with hard-to-heal wounds of varying aetiologies.Method: A prospective, single-site, pilot case series of patients with hard-to-heal wounds. All wounds were considered non-healing prior to inclusion as they had failed to achieve at least 50% WAR after at least four weeks of standard of care (SoC) treatments. Patients were seen once weekly for wound assessments, matrix application and dressing changes. Baseline and weekly fluorescence images, standard wound images and wound measurements were obtained.Results: A total of three patients, two with venous leg ulcers (VLUs) and one with a diabetic foot ulcer (DFU) were enrolled in this pilot study. The mean baseline wound age prior to study enrolment was 24 weeks, with a mean baseline wound size of 8.61cm2. The two VLUs went on to complete closure. The DFU displayed a total WAR of 53% by six weeks, when the patient was lost to follow-up due to a geographical relocation. The mean percentage area reduction of all wounds combined was 82% upon study completion.Conclusion: The use of MWM proved to be effective and safe in this patient cohort. The wounds included in this case series failed to enter a healing trajectory with SoC wound therapies. The MWM supported wound closure and reduced bacterial loads in this patient cohort.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988291","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

Effect of honey and povidone-iodine on acute laceration wound healing: a pilot randomised controlled trial study. 蜂蜜和聚维酮碘对急性撕裂伤口愈合的影响：随机对照试验研究。

IF 1.5 4区医学

Journal of wound care Pub Date : 2024-08-02 DOI: 10.12968/jowc.2022.0020

Kevin Leonard Suryadinata, Adi Basuki, Agustini Song, Nabila Viera Yovita, Adriani Purnasakti Pakan, Asian Edward Sagala

{"title":"Effect of honey and povidone-iodine on acute laceration wound healing: a pilot randomised controlled trial study.","authors":"Kevin Leonard Suryadinata, Adi Basuki, Agustini Song, Nabila Viera Yovita, Adriani Purnasakti Pakan, Asian Edward Sagala","doi":"10.12968/jowc.2022.0020","DOIUrl":"https://doi.org/10.12968/jowc.2022.0020","url":null,"abstract":"Objective: Acute laceration wound (ALW) is one of the most common injuries in Indonesia with potential significant morbidities. In rural areas, povidone-iodine and honey are commonly used as wound dressings. This study aimed to identify the effectiveness of honey compared to paraffin gauze and the commonly used povidone-iodine in improving ALW healing time.Method: This study was a single-blind, pilot randomised controlled trial (RCT) with three intervention groups (honey, povidone-iodine, and paraffin). The outcomes were wound healing time, slow healing, secondary healing, signs of infection, wound dehiscence, oedema, maceration, necrosis, exudate and cost.Results: A total of 35 patients (male to female ratio: 4:1), with a mean age of 22.5 (range: 6-47) years, were included and randomised to treatment groups using predetermined randomisation according to wound location and wound dressing selection: honey group, n=12; povidone-iodine group, n=11; paraffin group, n=12 with one patient lost to follow-up. All groups achieved timely healing, with a mean healing time of 9.45±5.31 days and 11.09±5.14 days for the povidone-iodine and paraffin groups, respectively, and a median healing time of 10 (3-19) days for the honey group (p>0.05). More wounds in the honey group achieved healing in ≤10 days compared with the other groups. Both povidone-iodine and honey groups had fewer adverse events, with the latter having the lowest cost.Conclusion: In this study, honey was clinically effective in accelerating healing time with a lower cost compared to paraffin, and was comparable to povidone-iodine. Future RCTs with a larger sample size should be pursued to determine honey's role in ALW treatment.","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976034","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