{"title":"The utility of negative pressure wound therapy with instillation for wound bed preparation","authors":"Luis Fernández","doi":"10.2147/CWCMR.S198418","DOIUrl":"https://doi.org/10.2147/CWCMR.S198418","url":null,"abstract":"","PeriodicalId":43306,"journal":{"name":"Chronic Wound Care Management and Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/CWCMR.S198418","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47526814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rare chemical burns: first response, early hospitalization and first treatment: retrospective analysis from a single center","authors":"H. Akelma, Z. A. Karahan, Ebru Tarıkçı Kılıç","doi":"10.2147/CWCMR.S213100","DOIUrl":"https://doi.org/10.2147/CWCMR.S213100","url":null,"abstract":"","PeriodicalId":43306,"journal":{"name":"Chronic Wound Care Management and Research","volume":"1 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/CWCMR.S213100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42372981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Serena, I. Kushnir, Alon Kushnir, R. Yaakov, K. Eckert
{"title":"The safety of an autologous whole blood clot product applied to full thickness dermal wounds in a porcine model for up to 18 days","authors":"T. Serena, I. Kushnir, Alon Kushnir, R. Yaakov, K. Eckert","doi":"10.2147/CWCMR.S189836","DOIUrl":"https://doi.org/10.2147/CWCMR.S189836","url":null,"abstract":"Introduction: Blood has become a major source for wound care products due to its primary role in wound healing. The blood clot provides a fi brin scaffold that serves as a protective, provisional extracellular matrix. The clot dries out and becomes a protective scab, under which a moist wound environment can be maintained. In this study, the safety of an autologous whole blood clot product was evaluated in porcine models. Methods: A total of 24 full thickness dermal wounds were analyzed (6 wounds on each of the 4 porcine models). Eighteen wounds received the whole blood clot product and 6 were treated with saline soaked gauze for 18 days. Reapplications occurred on days 6 and 12. Histological evaluations were carried out to detect the presence of kaolin. Percentage area reduction and adverse events related to the whole blood clot product were assessed. Results: Microscopic evaluation revealed that the whole blood clot product was associated with partial to complete wound reepithelialization, whereas minimal reepithelialization was present with the control. The mean reepithelialization score for the control wounds was 1.0, or 2.3 times less than the mean score for the intervention group. By day 18, the mean reduction in wound area was 41% (SD: 3.8) for the control wounds versus 66% (SD: 6.4) for the wounds treated with the whole blood clot product ( P <0.0001).","PeriodicalId":43306,"journal":{"name":"Chronic Wound Care Management and Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/CWCMR.S189836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49484826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of acceptability and ease of use of gelling fiber dressings in the management of heavily exuding wounds","authors":"G. Naik, K. Harding","doi":"10.2147/CWCMR.S162687","DOIUrl":"https://doi.org/10.2147/CWCMR.S162687","url":null,"abstract":"","PeriodicalId":43306,"journal":{"name":"Chronic Wound Care Management and Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2019-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/CWCMR.S162687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45419611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Barsotti, M. Di Battista, V. Venturini, A. Della Rossa, M. Mosca
{"title":"Management of digital ulcers in systemic sclerosis","authors":"S. Barsotti, M. Di Battista, V. Venturini, A. Della Rossa, M. Mosca","doi":"10.2147/CWCMR.S181326","DOIUrl":"https://doi.org/10.2147/CWCMR.S181326","url":null,"abstract":"Rheumatology Unit, Pisa University Hospital, Pisa, Italy Abstract: Systemic sclerosis (SSc) is a rare disease characterized by autoimmune pathogenesis, alterations to the vascular system, and fibrosis of the skin and internal organs. Digital ulcers (DUs) are common in SSc patients, and represent a major burden for the patients. The management of DUs in systemic sclerosis is difficult, because it needs a multimodal therapeutic approach, as local treatment alone is usually insufficient and also systemic treatment with vasoactive drugs and modification of the lifestyle are usually required for healing of the wounds. In this review, we describe the optimalmanagement of DUs according to recent literature and our clinical practice for systemic and local treatment of chronic digital wounds in SSc patients.","PeriodicalId":43306,"journal":{"name":"Chronic Wound Care Management and Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/CWCMR.S181326","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49204077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hyperbaric oxygen therapy for the management of chronic wounds: patient selection and perspectives","authors":"E. Huang, Marvin Heyboer Iii, D. Savaser","doi":"10.2147/CWCMR.S175721","DOIUrl":"https://doi.org/10.2147/CWCMR.S175721","url":null,"abstract":"","PeriodicalId":43306,"journal":{"name":"Chronic Wound Care Management and Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/CWCMR.S175721","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49419816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mao Kunimitsu, G. Nakagami, A. Kitamura, Yuko Mugita, K. Akamata, S. Sasaki, Chieko Hayashi, Yukie Mori, H. Sanada
{"title":"The combination of high bacterial count and positive biofilm formation is associated with the inflammation of pressure ulcers","authors":"Mao Kunimitsu, G. Nakagami, A. Kitamura, Yuko Mugita, K. Akamata, S. Sasaki, Chieko Hayashi, Yukie Mori, H. Sanada","doi":"10.2147/CWCMR.S187733","DOIUrl":"https://doi.org/10.2147/CWCMR.S187733","url":null,"abstract":"Objective: Evaluating the bacterial bioburden of pressure ulcers through bacterial count and pathogenicity is important but is currently difficult to perform in the clinical setting. In order to address this problem, we proposed two methods: 1) measurement of bacterial count using a quantitative device and 2) detection of biofilm formation by wound blotting. The purpose of this study was to investigate the relationship between the bacterial bioburden, assessed by combining these two methods, and the presence of wound inflammation. Patients and methods: The participants of this cross-sectional study were patients aged > 20years with category II, III, IV, or unstageable pressure ulcers examined during a routine round in an interdisciplinary pressure ulcer team between July 2014 and April 2018. Relevant clinical information, including bacterial count, biofilm formation, and presence of inflammation, was collected from the pressure ulcer round record. The relationship between the bacterial bioburden and the presence of inflammation was analyzed using multilevel logistic regression analysis. Results: We included 273 samples obtained from 98 patients. High bacterial count was significantly associated with wound inflammation ( P = 0.009) and positive biofilm formation tended to be associated with wound inflammation ( P = 0.076). In terms of combining these parameters, high bacterial count and positive biofilm formation were significantly associated with wound inflammation (OR: 4.61, 95% CI: 1.37–15.46, P = 0.013). Conclusion: Assessment using both bacterial count and biofilm detection parameters may provide more accurate evaluation of the bacterial bioburden of the wound and contribute to appropriate wound care.","PeriodicalId":43306,"journal":{"name":"Chronic Wound Care Management and Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/CWCMR.S187733","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47499972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sharp wound debridement: patient selection and perspectives","authors":"C. Harris, P. Coutts, Rose Raizman, N. Grady","doi":"10.2147/CWCMR.S146747","DOIUrl":"https://doi.org/10.2147/CWCMR.S146747","url":null,"abstract":": Conservative sharp wound debridement, as part of the wound bed preparation paradigm, can be performed in a wide variety of settings including the patients’ home or community clinic settings, by health care professionals who perform within their scope of practice and have been certified to be competent. This paper reviews the components that must be in place to ensure safe delivery of conservative sharp wound debridement for an increased number of clinicians, with organizational support, based on practices in a Canadian context. Expected goals are a cleaner wound bed, with an increased percentage of viable tissue, decreased amount of wound exudate, corresponding decreased risk of wound infection and malodor, and improved periwound skin.","PeriodicalId":43306,"journal":{"name":"Chronic Wound Care Management and Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/CWCMR.S146747","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46377768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Observations made on three patients suffering from ulcers of the lower limbs treated with Blue Light","authors":"G. Mosti, S. Gasperini","doi":"10.2147/cwcmr.s172060","DOIUrl":"https://doi.org/10.2147/cwcmr.s172060","url":null,"abstract":"php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Chronic Wound Care Management and Research 2018:5 23–28 Chronic Wound Care Management and Research Dovepress","PeriodicalId":43306,"journal":{"name":"Chronic Wound Care Management and Research","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/cwcmr.s172060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44788720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epidermolysis bullosa: a case report","authors":"C. Fife, R. Yaakov, T. Serena","doi":"10.2147/CWCMR.S162849","DOIUrl":"https://doi.org/10.2147/CWCMR.S162849","url":null,"abstract":": Epidermolysis bullosa (EB), often referred to as the butterfly disease, is a group of rare genetic conditions characterized by skin that is delicate and fragile as butterfly wings. The skin blisters in response to friction, minor injury, or trauma. In certain types of EB, other organs, such as the esophagus, can also be affected, and secondary complications may require multiple interventions. While there has been significant progress in classifying the disease – identifying genes and proteins involved – there have been few advances in the treatment of the disease. The care of the EB patient focuses on management of symptoms, protecting the skin, and preventing complications. In this case report, the use of a multivalent wound-healing ointment (Terrasil®) was evaluated in a 60-year-old patient with a history of junctional EB. A polymerase chain reaction-based culturing was utilized to quantitatively test for bacteria and fungi at baseline and follow-up visits. Pain assessment and wound area were also documented at each visit. Following the application of the wound care ointment, there was a reduction in wound surface area on central (96%) and distal mid-back (92%) by treatment visit three, and there was a 96% reduction on the left shoulder blade ulcer by treatment visit four. Moreover, there was a noticeable drop in the percentage of bacteria detected by polymerase chain reaction. The wound care ointment was also effective in eliminating the fungal species and reducing pain, itching, blistering, and cracking around the wound.","PeriodicalId":43306,"journal":{"name":"Chronic Wound Care Management and Research","volume":"1 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/CWCMR.S162849","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44579167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}