Advances in skin & wound care
-
Adv Skin Wound Care · Nov 2003
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialRandomized clinical trial comparing 2 support surfaces: results of the Prevention of Pressure Ulcers Study.
To determine whether a viscoelastic polymer (energy absorbing) foam mattress was superior to a standard hospital mattress for pressure ulcer prevention and to analyze the cost-effectiveness in comparison with standard hospital mattresses. ⋯ Regardless of prevention routine, pressure ulcers occur. In this study, the experimental equipment showed statistical significance to standard equipment for prevention of blanching erythema; significance was not achieved for nonblanching erythema. Trend and survival analysis show that a larger study is required to determine whether this nonsignificant difference is genuine.
-
Adv Skin Wound Care · Feb 2016
Frequent Application of the New Gelatin-Collagen Nonwoven Accelerates Wound Healing.
Mortality after chronic wounds is high. Thus, proper and effective therapy is of critical importance. Adult mammalian skin cannot regenerate spontaneously. It heals under scar formation in a process of repair. In general, wound closure is achieved through a combination of contraction, scar formation, and regeneration. To enhance wound healing, research groups are continuously inventing and evaluating novel skin replacement products. A single application of a new gelatin-collagen nonwoven accelerates wound closure of full-thickness skin defects. Therefore, the authors' objective was to evaluate the effect of a higher application frequency of the nonwoven on wound closure in a minipig model. ⋯ Multiple applications of the gelatin-collagen nonwoven may be an appropriate treatment for chronic wounds leading to a fast wound closure through a combination of contraction and re-epithelialization.
-
Adv Skin Wound Care · Jan 2014
Randomized Controlled Trial Comparative StudyActivated chlorine dioxide solution can be used as a biocompatible antiseptic wound irrigant.
The purpose of this study was to compare cosmesis at 3 to 4 months and infection in simple lacerations irrigated with normal saline (NS) versus activated chlorine dioxide (CD). ⋯ The authors report the use of a novel antimicrobial irrigation solution. Chlorine dioxide appears to be a safe biologically acceptable antiseptic wound irrigant that does not appear to interfere with cosmetic outcomes.
-
Adv Skin Wound Care · Apr 2018
Pressure Injury Prevention: Knowledge and Attitudes of Iranian Intensive Care Nurses.
Pressure injuries are the third most expensive condition after cancer and cardiovascular disease. Nurses are responsible for the direct and continuous care, treatment, and prevention of pressure injuries. To achieve optimal quality care, nursing knowledge and attitudes must be based on the best scientific evidence. This study aimed to examine the knowledge and attitudes of nurses working in intensive care units of hospitals affiliated with Zahedan Medical Sciences University regarding the prevention of pressure injuries. ⋯ Pressure injury prevention is one of many nursing care priorities and is a key indicator of the quality of nursing care. In order to achieve optimal quality care in this area, nurse managers and other administrators should make efforts to improve nursing knowledge and attitudes based on the latest scientific evidence for pressure injury prevention.
-
Adv Skin Wound Care · May 2013
Review Comparative StudySwab versus biopsy for the diagnosis of chronic infected wounds.
The goal of this review was to investigate the usefulness of a wound swab (using the Levine or Z technique) in comparison with a biopsy as a reliable method for the diagnosis of a chronic wound infection. ⋯ The best sampling technique for taking a swab has not yet been identified and validated. Until then, the authors recommend the Levine technique.