Wounds & Dressings – key slides. Chronic wounds, factors affecting healing, wound assessment & cleansing The evidence supporting the wound care treatments we currently choose to use in primary care. Wound care therapeutics.
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Some facts & figures:
Wound Cleansing of NHS money spent on SDPs?SIGN 26 Care of patients with chronic leg ulcers 1998NICE Clinical Guideline No29 September 2005NHSSB wound management manual 2005
Saline vs. tap water? of NHS money spent on SDPs?Fernandez R et al Cochrane Water for Wound Cleansing 2008Moore Z, Cowman S, Wound cleaning for pressure ulcers 2005
‘There is no evidence that using tap water to cleanse acute wounds in adults increases infection, and some evidence that it reduces it. However, there is not strong evidence that cleansing wounds per se increases healing or reduces infection. In the absence of potable tap water, boiled and cooled water as well as distilled water can be used as wound cleansing agents’
Another Cochrane review in 2005 examined the effect of wound cleaning solutions and techniques in the management of pressure ulcers. Very few studies in this review were eligible for inclusion due to poor quality, but of those that were the conclusion was that ‘there was no good evidence to support the use of any particular wound cleaning solution’.
Equivalent costs for 500ml (though pack sizes vary):
Managing infected wounds 2008NICE CG Pressure Ulcer No29 September 2005,SIGN 26 Care of patients with chronic leg ulcers 1998NHSSB wound management manual 2005