Advances in Skin & Wound Care最新文献

{"title":"Celebrating International Nurses Day 2026.","authors":"Elizabeth A Ayello, R Gary Sibbald","doi":"10.1097/ASW.0000000000000446","DOIUrl":"10.1097/ASW.0000000000000446","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 4","pages":"172"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721493","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}

{"title":"Pain Relief and Faster Healing: A Quasi-experimental Study on the Impact of Nursing Care on Burn Recovery.","authors":"Mohammed ElSayed Zaky, Haitham Mokhtar Mohamed Abdallah, Shimmaa Mohamed Elsayed, Shimaa Magdy Farghaly","doi":"10.1097/ASW.0000000000000429","DOIUrl":"10.1097/ASW.0000000000000429","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of a structured nursing care protocol on pain relief and wound healing among patients with noncomplex burn injuries.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted in a burn unit. A total of 100 adult patients were included and randomly assigned to 2 groups: a control group (n = 50), which received routine hospital care, and an intervention group (n = 50), which received routine care as well as a nurse-led rehabilitation program. The program involved pain management, wound care protocols, and functional mobility exercises. Outcomes were assessed using pretest and posttests of the Numeric Pain Rating Scale and Bates-Jensen Wound Assessment Tool.</p><p><strong>Results: </strong>The intervention group showed significant improvements in pain reduction ( P < .001), with pain levels decreasing from 6.8 ± 1.5 pre-discharge to 3.4 ± 1.8 at 2 weeks post-discharge. Wound healing also improved significantly, with faster reductions in wound size ( P = .01) and enhanced granulation tissue formation ( P = .002) among intervention group participants.</p><p><strong>Conclusions: </strong>Integrating pain management and wound care into structured nursing interventions for patients with noncomplex burns may enhance pain relief and faster wound healing, contributing to more effective rehabilitation.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"194-201"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497294","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}

{"title":"Xylazine-Associated Wounds: A Scoping Review of Clinical Presentation and Management.","authors":"John R Vaile, William C Connolly, Alexander P Zavitsanos, Emily L Isch, Jillian H Zavodnick, Sami Tannouri, Heather A McMahon","doi":"10.1097/ASW.0000000000000436","DOIUrl":"10.1097/ASW.0000000000000436","url":null,"abstract":"<p><strong>Objective: </strong>Xylazine-adulterated opioids have led to an increase in xylazine-associated wounds (XAWs) among people who use drugs. This scoping review synthesizes current information on the clinical presentation and management of XAWs.</p><p><strong>Data sources: </strong>Investigators searched PubMed and Scopus for English-language articles on the clinical presentation or management of XAWs.</p><p><strong>Study selection: </strong>Exclusion criteria included non-English articles, wounds not associated with xylazine, lack of clinical presentation or management information, brief communications, and review articles. Of 2711 articles screened, 10 met the inclusion criteria.</p><p><strong>Data extraction: </strong>Extracted data included patient characteristics, clinical presentation, and medical or surgical management.</p><p><strong>Data synthesis: </strong>Among 22 patients, wounds initially presented at and/or away from injection sites as dark blisters with irregular borders, then evolved into dry, adherent eschar; some wounds progressed to deeper ulcers with intact skin islands. Eight of the 10 studies reported at least 1 case of superinfection, with the most common being periwound cellulitis or abscess. Infection-control measures included debridement, wound-bed preparation, moisture control with appropriate dressings, cultures, consistent documentation of wound changes, and hand hygiene. Nonhealing wounds required further surgical interventions such as debridement (n=4), upper extremity amputation (n=3), or microvascular flap coverage (n=1). Only 2 patients fully recovered; the remainder were lost to follow-up.</p><p><strong>Conclusions: </strong>Xylazine-associated wounds necessitate multidisciplinary care strategies that prioritize wound care, harm reduction, and comprehensive withdrawal management to address both the physical and psychosocial needs of people who use drugs.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 4","pages":"E185-E193"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721464","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}

{"title":"FAQs: 2026 Incident To Services and Direct Supervision.","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000447","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000447","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 4","pages":"173-174"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721556","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}

{"title":"Enhanced Home-Based Wart Treatment Protocol: Optimizing Debridement and Occlusion Therapy for Improved Outcomes.","authors":"Kritin K Verma, Dora R Goldstein, Aarthi Annamalai, Jeffrey Wang, Michelle B Tarbox, Stephen K Tyring, Daniel P Friedmann","doi":"10.1097/ASW.0000000000000438","DOIUrl":"10.1097/ASW.0000000000000438","url":null,"abstract":"<p><strong>Abstract: </strong>>Verruca vulgaris remains a prevalent dermatologic condition, affecting ∼10% of the population, with a higher incidence in children and immunocompromised individuals. Although professional interventions such as cryotherapy, excision, and laser therapy demonstrate success rates of 60% to 90%, financial limitations and restricted health care access underscore the need for structured, home-based alternatives. The proposed research presents an evidence-based treatment protocol that integrates systematic mechanical debridement with occlusion therapy to enhance wart clearance. The methodology emphasizes precise debridement using fine-grade sandpaper or single-edge razors after hydration, followed by occlusion with duct or electrical tape and adjunctive salicylic acid application. Debridement to the level of pinpoint bleeding improves therapeutic penetration and immune activation, while maintaining safety through strict endpoint recognition and single-use tool precautions. A stepwise algorithm and representative case example illustrate the protocol's feasibility, with observable wart softening, size reduction, and skin line restoration within 6 to 12 weeks. Safety monitoring, hygiene practices, and patient education are emphasized to prevent complications such as infection or nerve injury. This structured approach offers clinicians and patients a reproducible, low-cost, and accessible alternative to conventional in-office procedures, bridging evidence-based dermatologic care with home-based treatment practicality. JOURNAL/aswca/04.03/00129334-202605000-00004/figure1/v/2026-04-14T095130Z/r/image-jpegGENERAL PURPOSE: To demonstrate knowledge of an evidence- and home-based debridement and occlusion treatment protocol to enhance clearance of common warts (verruca vulgaris).TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant will:Identify patients who are appropriate candidates for a home-based wart treatment protocol.Apply evidence-supported methods for implementing a home-based wart treatment protocol.Apply management strategies to address complications or treatment failure associated with a home-based debridement and occlusion protocol for common warts.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 4","pages":"180-184"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721490","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}

{"title":"Topical Table Salt for the Treatment of Pyogenic Granuloma: A Five-Case Series.","authors":"Melike Karaçoban, Engin Şenel","doi":"10.1097/ASW.0000000000000462","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000462","url":null,"abstract":"<p><p>Pyogenic granuloma (PG) is a common benign vascular lesion characterized by rapid growth and a tendency to bleed. This case series presents 5 patients with solitary PG lesions successfully treated with the topical application of table salt under occlusion. All patients achieved complete clinical and dermoscopic resolution without scarring or recurrence, and treatment was well tolerated with high patient satisfaction. Given its simplicity, safety, and cost-effectiveness, topical salt application may represent a valuable noninvasive alternative for managing PG.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809039","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}

{"title":"Life Experiences of Individuals With Fecal Incontinence: A Thematic Meta-Synthesis Study.","authors":"İlknur Özkan, Seçil Taylan, Cansu Polat Dünya","doi":"10.1097/ASW.0000000000000449","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000449","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to systematically interpret and synthesize data obtained from qualitative research on the life experiences of individuals with fecal incontinence.</p><p><strong>Data sources: </strong>A comprehensive literature search covering the years 2010 to 2023 was conducted on December 1, 2023, using the CINAHL, MEDLINE, PubMed, Web of Science, OpenAIRE, and OVID electronic databases. The search process followed PRISMA guidelines. The study was registered in PROSPERO (CRD42024507571).</p><p><strong>Study selection: </strong>Qualitative studies focusing on the life experiences of individuals with fecal incontinence were included. A total of 16 studies met the inclusion criteria and were incorporated into the meta-synthesis.</p><p><strong>Data extraction: </strong>Relevant data from the included studies were systematically extracted, focusing on participants' experiences, perceptions, and coping mechanisms related to fecal incontinence.</p><p><strong>Data synthesis: </strong>Data were analyzed using thematic synthesis. Five analytical themes were identified: (1) the meaning of fecal incontinence for the individual, (2) perceived barriers to the management of fecal incontinence, (3) negative effects of fecal incontinence on life, (4) developing individual coping strategies, and (5) expectations.</p><p><strong>Conclusions: </strong>Fecal incontinence was found to be more than a physical condition, significantly affecting individuals' mental health as well as their sexual and social lives. Social stigma, taboos, and limited awareness among health care professionals hinder patients from expressing their symptoms and seeking help, often leading to concealment of the condition. These findings highlight the need for educational interventions and awareness campaigns to reduce stigma and address the psychosocial dimensions of fecal incontinence.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809556","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}

{"title":"Chronic Wound Management With a Super-oxidized Solution and Aerosol Gel Spray: A Case Series.","authors":"Harikrishna K R Nair, Aishah Khamis, Alina Md Isa, Ranjeni Krishnen","doi":"10.1097/ASW.0000000000000444","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000444","url":null,"abstract":"<p><strong>Objective: </strong>Chronic wound management is a major challenge in modern medicine. Chronic wounds typically persist in the inflammatory stage of wound healing and are frequently attributed to, and exacerbated by, infections.</p><p><strong>Methods: </strong>In this retrospective, single-center case series, the authors evaluated whether wound management with an electro-activated super-oxidized solution (SOS) and aerosol gel spray effectively promoted chronic wound healing progression in patients treated at the Wound Care Unit, Department of Internal Medicine, Kuala Lumpur Hospital, between July 2021 and July 2022. As well as data on patient demographics, wound healing images, and wound size data were collected.</p><p><strong>Results: </strong>Across all 9 patients, progressive wound healing was achieved following consistent wound management with electro-activated SOS and aerosol gel spray. Reepithelialization and wound size reductions were observed in all patients, and none of the patients developed new wound infections. Notably, 1 patient experienced a diabetic foot ulcer that did not resolve with antibiotic treatment; however, complete wound closure was achieved within 31 days of management with electro-activated SOS and aerosol gel spray.</p><p><strong>Conclusions: </strong>The results of this case series suggest that wound management with electro-activated SOS and aerosol gel spray may promote wound healing in patients with various chronic wounds.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809574","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}

{"title":"Effect of Nursing Interventions on Patients' Adaptation to Living With a Stoma: A Meta-Analysis of Randomized, Controlled Trials.","authors":"Seçil Taylan, İlknur Özkan, Gülden Küçükakça, Ayişe Karadağ","doi":"10.1097/ASW.0000000000000452","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000452","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the effect of nursing interventions on patients' adaptation to living with a stoma.</p><p><strong>Data sources: </strong>Nine electronic databases (PubMed, Complementary Index, MEDLINE, Academic Search Ultimate, CINAHL Complete, OpenAIRE, Directory of Open Access Journals, Supplemental Index, and the Belt and Road Initiative Reference) were searched to identify studies published until September 2023.</p><p><strong>Study selection: </strong>A 3-stage selection process was employed to manage the literature search records using Endnote X8 literature management software. Systematic review and meta-analysis following PRISMA 2020 and Cochrane 2021 recommendations. Seven RCTs were included, involving 657 participants (327 in intervention groups and 330 in control groups).</p><p><strong>Data extraction: </strong>A 9-item, standardized, and prepiloted data extraction form was employed to record data from included studies. Seven studies that met the inclusion criteria were eligible for meta-analysis.</p><p><strong>Data synthesis: </strong>The impact of nursing interventions was assessed using Comprehensive Meta-Analysis software. A meta-analysis was performed with the effect of nursing interventions on patients' adaptation to living with a stoma.</p><p><strong>Conclusions: </strong>Nursing interventions, especially those incorporating technological tools, are effective in supporting stoma patients, particularly patients with cancer, in adapting to life with a stoma. Nurses should integrate these interventions into routine care for patients with stoma to improve outcomes.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809609","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}

{"title":"Repair of a Large Ear Defect Including the Triangular Fossa.","authors":"Marcus Zaayman, Mojahed Mohammad K Shalabi, Hannah R Riva, Chad D Housewright","doi":"10.1097/ASW.0000000000000463","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000463","url":null,"abstract":"<p><p>Large ear defects in dermatologic surgery can present a difficult challenge to achieve excellent functional and cosmetic results. This article describes a difficult case of a large ear defect as well as considerations for resolution. A 67-year-old male presented for Mohs micrographic surgery of a basal carcinoma of the left ear. Prior skin biopsy showed a nodular and sclerosing basal cell carcinoma that extended to biopsy margins. The lesion was excised in 3 Mohs stages with negative margins in the last stage. Final defect size was 3.5×2.3 cm and extended across the scapha and the crura of the antihelix. Various closure modalities were considered and discussed. Due to extensive tissue loss and size/depth of defect, a preauricular interpolation flap was utilized to best preserve normal anatomic and functional relationships. The patient had an excellent postoperative outcome, including long-term follow-up at 6 months. This case presents a surgical conundrum of a large ear defect and considerations for closure in such cases, as well as a resolution.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809109","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}